Active NPI
Elaine Martin Damon, M.S., LPC
- Professional Counselor
- Atlanta, GA
National Provider Identifier
1619199981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC001704
- Practice address
- 455 East Paces Ferry Road, NE
Suite 203
Atlanta, GA 30305 - Phone
- (678) 665-4001
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC001704 | GA | Primary |
Addresses
Primary practice location
455 East Paces Ferry Road, NE
Suite 203
Atlanta, GA 30305
Mailing address
455 East Paces Ferry Road, NE
Suite 203
Atlanta, GA 30305
Phone (678) 665-4001
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC001704 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619199981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 EAST PACES FERRY ROAD, NE",
"address_2": "SUITE 203",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30305",
"telephone_number": "678-665-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 EAST PACES FERRY ROAD, NE",
"address_2": "SUITE 203",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30305",
"telephone_number": "678-665-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMON",
"first_name": "ELAINE",
"middle_name": "MARTIN",
"name_prefix": "Ms.",
"credential": "M.S., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC001704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.