Damon Michael Holland

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

422 N Main St
Condon, OR 97823-7651

Phone

(541) 384-2666

NPI assigned

Sep 4, 2019

Last updated

Sep 4, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Community Counseling Solutions

  • Addiction (Substance Use Disorder) Counselor
  • Heppner, OR
  • NPI 1578501771
  NPD (past)

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1093364937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293",
            "city": "CONDON",
            "state": "OR",
            "postal_code": "978230293",
            "telephone_number": "541-390-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 N MAIN ST",
            "city": "CONDON",
            "state": "OR",
            "postal_code": "978237651",
            "telephone_number": "541-384-2666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Arlington Mall",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "OR",
            "postal_code": "97812",
            "country_code": "US",
            "telephone_number": "541-454-2223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Fourth St",
            "address_purpose": "LOCATION",
            "city": "Fossil",
            "state": "OR",
            "postal_code": "978308302",
            "country_code": "US",
            "telephone_number": "541-763-2746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "DAMON",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce D. Carlson (Gilliam County Medical Center)
• Anna Charapata, PHARMD
• Community Counseling Solutions
• Lisa Helms, M.S. QMHP CADCI
• Amanda Rae Hendricks, LMT
• Murray Drugs, Inc. (Murray's Condon Pharmacy)
• Tara Lynn Nelson
• North Central Education Service District
• South Gilliam County Ambulance
• South Gilliam County Health Dist (South Gilliam Health Center)

• Mental Health Counselor in Condon, OR
• Providers in Condon, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.