Individual provider Active NPI

Damion R Cummins, PH.D., LPC, LMFT

  • Professional Counselor
  • Ruston, LA
National Provider Identifier
1730446261
Registry record updated Feb 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3255 Issued in LA
Practice address
206 E Reynolds Dr
F1
Ruston, LA 71270-2809
Phone
(318) 202-5878
NPI assigned
Apr 22, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3255 LA Primary

Addresses

Primary practice location

206 E Reynolds Dr
F1
Ruston, LA 71270-2809

Mailing address

466 Stable Rd
Ruston, LA 71270-3290
Phone (318) 355-1628

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3255LAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1335052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360972800000",
    "number": "1730446261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 STABLE RD",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703290",
            "telephone_number": "318-355-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E REYNOLDS DR",
            "address_2": "F1",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702809",
            "telephone_number": "318-202-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINS",
        "first_name": "DAMION",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-22",
        "last_updated": "2013-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "3255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2013; 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.