Active NPI
Damon P. Neely
- Counselor
- Boone, NC
National Provider Identifier
1508104498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 366 Russelton Rd
Boone, NC 28607-4677 - Phone
- (704) 340-1928
- NPI assigned
- Jan 28, 2013
- Last updated
- Oct 19, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 13003210-6004 | UT | |
| Counselor | 101Y00000X | 008270 | CT | |
| Counselor | 101Y00000X | MH13196 | FL | |
| Counselor | 101Y00000X | 016252D | NY | |
| Counselor | 101Y00000X | 13523-MH-CC | MA | |
| Counselor | 101Y00000X | Primary | ||
| Counselor | 101Y00000X | 8771857 | ID | |
| Counselor | 101Y00000X | 180017389 | IL | |
| Counselor | 101Y00000X | LPC10883PC | SC |
Addresses
Primary practice location
366 Russelton Rd
Boone, NC 28607-4677
Mailing address
366 Russelton Rd
Boone, NC 28607-4677
Phone (704) 340-1928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792368000000",
"number": "1508104498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "366 RUSSELTON RD",
"city": "BOONE",
"state": "NC",
"postal_code": "286074677",
"telephone_number": "704-340-1928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "366 RUSSELTON RD",
"city": "BOONE",
"state": "NC",
"postal_code": "286074677",
"telephone_number": "704-340-1928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEELY",
"first_name": "DAMON",
"middle_name": "P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-28",
"last_updated": "2026-10-19",
"certification_date": "2026-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "UT",
"license": "13003210-6004",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CT",
"license": "008270",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "MH13196",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NY",
"license": "016252D",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MA",
"license": "13523-MH-CC",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ID",
"license": "8771857",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "180017389",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "SC",
"license": "LPC10883PC",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boone, NC
- Music Journey Music Therapy Services of the High Country, L.L.C.
- George Eakin Naff III, MA, D.MIN, NCC, LPC
- NC DHHS Child and Family Well-Being
- Julie Reed Neal, LPA
- Alan R Needle, PH.D., ATC
- Ovidiu Gheorghe Negrea, M.D.
- Lisa Christian Nethery, CRNA
- New River Counseling and Wellness, PLLC
- New River Mental Health Center (New River Behavioral HealthCare)
- New River Mental Health Center (New River Behavioral HealthCare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.