Douglas Palmer, CRC, CDMS

Primary specialty

Rehabilitation CounselorTaxonomy code 225C00000X

License

15763 Issued in IL

Practice address

440 E Swedesford Rd Ste 2045
Wayne, PA 19087-1842

Phone

(207) 303-4598

Fax

(888) 741-9222

NPI assigned

Sep 21, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1548048382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E SWEDESFORD RD STE 2045",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871842",
            "telephone_number": "207-303-4598",
            "fax_number": "888-741-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E SWEDESFORD RD STE 2045",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871842",
            "telephone_number": "207-303-4598",
            "fax_number": "888-741-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "DOUGLAS",
        "credential": "CRC, CDMS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "IL",
            "license": "15763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Counselor in Wayne, PA
• Providers in Wayne, PA by specialty
• Rehabilitation Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.