Donald Damborg, M.A., LMFT

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

19230 Evans St NW Ste 202a
Elk River, MN 55330-1561

Phone

(763) 525-8590

NPI assigned

Jun 20, 2012

Last updated

Sep 13, 2018By the provider in NPPES

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

Credentials

Master of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pathways Psychological Services, P.a.

  • Mental Health Counselor
  • Plymouth, MN
  • NPI 1366443723
  NPD (past)

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1659634038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 3RD ST S APT 101",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553711874",
            "telephone_number": "831-869-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19230 EVANS ST NW STE 202A",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301561",
            "telephone_number": "763-525-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMBORG",
        "first_name": "DONALD",
        "name_prefix": "Mr.",
        "credential": "M.A., LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-20",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Crotty
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• Counselor in Elk River, MN
• Providers in Elk River, MN by specialty
• Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.