Individual provider Active NPI

Alicia Damgard, LPC

  • Mental Health Counselor
  • Lake City, MI
National Provider Identifier
1629731575
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401223166 Issued in MI
Practice address
130 N Main St
Lake City, MI 49651-5103
Phone
(231) 295-1196
NPI assigned
Oct 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401223166 MI Primary
Counselor 101Y00000X 6401223166 MI

Addresses

Primary practice location

130 N Main St
Lake City, MI 49651-5103

Mailing address

150 Hunters RDG
Cadillac, MI 49601-8006

Other practice location 1

201 N Mitchell St Ste 204
Cadillac, MI 49601-1859
Phone (231) 884-0028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • 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
I20240402000968 MI Practitioner - Mental Health Counselor 5799123386 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401223166MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grounded Therapy Network LLC Counselor CurrentSince Nov 1, 2024 Accepting new patients

Organizations & group practices 2

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": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1629731575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HUNTERS RDG",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N MAIN ST",
            "city": "LAKE CITY",
            "state": "MI",
            "postal_code": "496515103",
            "telephone_number": "231-295-1196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N Mitchell St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Cadillac",
            "state": "MI",
            "postal_code": "496011859",
            "country_code": "US",
            "telephone_number": "231-884-0028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAMGARD",
        "first_name": "ALICIA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401223166",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401223166",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, MI

Sources for this page

Verify at the official NPI Registry.