Active NPI
Damon Morton
- Mental Health Counselor
- Moreno Valley, CA
National Provider Identifier
1750536827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 13800 Heacock St
Suite # C236
Moreno Valley, CA 92553-3339 - Phone
- (951) 653-0819
- Fax
- (951) 656-2614
- NPI assigned
- Nov 17, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
13800 Heacock St
Suite # C236
Moreno Valley, CA 92553-3339
Mailing address
4735 Boyd CT
Riverside, CA 92507-5601
Phone (951) 662-9551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225400000X | Other | CA | CASE MANAGER |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Clinics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Ontario, CA
- NPI 1902273923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292803200000",
"number": "1750536827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4735 BOYD CT",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925075601",
"telephone_number": "951-662-9551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13800 HEACOCK ST",
"address_2": "SUITE # C236",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925533339",
"telephone_number": "951-653-0819",
"fax_number": "951-656-2614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORTON",
"first_name": "DAMON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-17",
"last_updated": "2010-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CASE MANAGER",
"identifier": "225400000X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.