Individual provider Active NPI

April Damond

  • Professional Counselor
  • Erie, PA
National Provider Identifier
1154082253
Registry record updated Jan 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC14085 Issued in PA
Practice address
1163 E 38TH St
Erie, PA 16504-1869
Phone
(814) 812-9738
NPI assigned
Jan 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC14085 PA Primary

Addresses

Primary practice location

1163 E 38TH St
Erie, PA 16504-1869

Mailing address

105 Pine Tree LN
North East, PA 16428-6713
Phone (814) 323-9953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20241209000050 PA Practitioner - Mental Health Counselor 2668908195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspring of Life, LLCGroup PAC ID 1456885425, 2 clinicians

Practice addresses (Care Compare)

1163 E 38TH St
Erie, PA 16504-1869
Phone (814) 812-9738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC14085PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring of Life, LLC Professional CurrentSince Sep 16, 2024 Accepting new patients

Locations

1163 E 38th St
Erie, PA 16504
Phone (814) 812-9738

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1640995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640995200000",
    "number": "1154082253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PINE TREE LN",
            "city": "NORTH EAST",
            "state": "PA",
            "postal_code": "164286713",
            "telephone_number": "814-323-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 E 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165041869",
            "telephone_number": "814-812-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMOND",
        "first_name": "APRIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-01",
        "last_updated": "2022-01-01",
        "certification_date": "2022-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC14085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.