Active NPI
Damon B. Smothers, S.S.PSY., M.ED., LEP
- Case Manager/Care Coordinator
- New Orleans, LA
National Provider Identifier
1811319239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1 Rosedown CT
New Orleans, LA 70131-3313 - Phone
- (043) 521-8415
- NPI assigned
- Jan 21, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| School Psychologist | 103TS0200X | LEP2679 | CA |
Addresses
Primary practice location
1 Rosedown CT
New Orleans, LA 70131-3313
Mailing address
1 Rosedown CT
New Orleans, LA 70131-3313
Phone (504) 352-1841
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LEP2679 | CA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1811319239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ROSEDOWN CT",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701313313",
"telephone_number": "504-352-1841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ROSEDOWN CT",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701313313",
"telephone_number": "043-521-8415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMOTHERS",
"first_name": "DAMON",
"middle_name": "B.",
"credential": "S.S.PSY., M.ED., LEP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-21",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "LEP2679",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.