Doug Damron, M.S.,L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P8903002 Issued in AR

Practice address

1301 Wilson Rd
Little Rock, AR 72205-6659

Phone

(501) 225-0576

Fax

(501) 225-6789

NPI assigned

Jun 30, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1976

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

We Psychiatric Services PLLCGroup PAC ID 5698142248, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• We Psychiatric Services PLLC

  • Psychologist
  • Little Rock, AR
  • NPI 1932174836
  Medicare reassignment Care Compare group NPD
• Senior Resolution Resources, Inc

  • Mental Health Counselor
  • Little Rock, AR
  • NPI 1760453914
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1083611495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 WILSON RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056659",
            "telephone_number": "501-225-0576",
            "fax_number": "501-225-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 WILSON RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056659",
            "telephone_number": "501-225-0576",
            "fax_number": "501-225-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMRON",
        "first_name": "DOUG",
        "name_prefix": "Mr.",
        "credential": "M.S.,L.P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P8903002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOCAL BCBS",
            "identifier": "5S305",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC NPI#",
            "identifier": "1932174836",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dalton Herzig, Inc.
• Dalton James Dailey, III DDS PA
• David Dalton, LPC
• Stacy L Dalton, M.S. CCC-SLP
• Prashanth Reddy Damalcheruvu, MBBS
• Sara Elizabeth Damron, DNP
• Al Dandredge
• Aulanna Dandredge
• Vasuki Dandu, M.D.
• Danesthesia Inc

• Professional Counselor in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.