PATRICK J DAMOND (NPI# 1053445312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053445312 |
| Entity Type | Individual |
| Full Name | PATRICK J DAMOND |
| Credential | LPC |
| Practice Address |
1163 E 38th St Erie PA 16504-1869 |
| Practice Telephone | 8148129738 |
| Mailing Telephone | 8148129738 |
| Mailing Fax Number | 8147905999 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-02-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
PC003590 | PA | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC003590 | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CAQH # | 11663910 | 01 |
| PA | 1007320880001 | 05 | |
| PA | 1007320880002 | 05 |
| Street Address |
1163 E 38TH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16504-1869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316438591 | Jessica Marie Rice | Counselor | 1163 E 38th St, Erie, PA 16504-1869 | 2018-05-23 |
| 1700329653 | Kelly Coates | Counselor | 1163 E 38th St, Erie, PA 16504-1869 | 2016-11-27 |
| 1154700110 | Wellspring of Life, LLC | Counselor | 1163 E 38th St, Erie, PA 16504-1869 | 2015-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306187638 | Stephanie Jo Hohos-mahoney | Speech-Language Pathologist | 135 East 38 Street, Erie, PA 16504 | 2013-03-12 |
| 1154541225 | Bonni Burke | Dental Hygienist | 135 East 38th St., Erie, PA 16504 | 2007-04-30 |
| 1881775278 | Sarah T Goebel | Social Worker | Erie Dept. of Veteran Affairs Medical Center, 135 East 38th St., Erie, PA 16504 | 2006-10-18 |
| 1386742971 | Michael Paul Fitzgerald | Physician Assistant | 135 East 38 Th, Erie, PA 16504 | 2006-09-20 |
| 1285647917 | Michele L Harrington | Audiologist | 135 E 38th St., Erie, PA 16504 | 2006-08-14 |
| 1427081595 | Glenwood Internal Medicine, LLP | Internal Medicine | 213 East 41st St., Erie, PA 16504 | 2006-07-09 |
| 1679502744 | Angela Palys Lindemuth | Psychiatry & Neurology | 135 East 38th St, Dept of Veteran Affairs Medical Center, Erie, PA 16504 | 2006-07-01 |
| 1992748081 | Paula Christine Bauda | Nurse Practitioner | 135 East 38th Street, Erie, PA 16504 | 2006-06-14 |
| 1487605267 | Kimberly Ann Thompson | Internal Medicine | 213 East 41st St, Erie, PA 16504 | 2006-05-15 |
| 1053701508 | Bomber Ferraro II | Counselor | 135 East 38th St, Erie, PA 16504 | 2015-02-04 |
| Find all providers in zip 16504 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508771 | Nicole Boyer | Counselor | 5117 W Lake Rd, Erie, PA 16505-2925 | 2020-11-06 |
| 1730793464 | Lauren Ashley Lippert | Counselor | 1813 Holland St, Erie, PA 16503-1809 | 2020-09-01 |
| 1639782212 | Andrew Kenneth Kohl | Counselor | 3117 Colonial Ave, Erie, PA 16506-1836 | 2020-08-25 |
| 1710500897 | Wendy J Mcdonald | Counselor | 5228 Annendale Dr, Erie, PA 16506-4650 | 2020-05-22 |
| 1649806381 | Krista L Stearns | Counselor | 2919 State St, Erie, PA 16508-1831 | 2020-03-13 |
| 1750920146 | Ashley Yatzor | Counselor | 2222 Filmore Ave Ste 502, Erie, PA 16506-2984 | 2020-01-02 |
| 1003452293 | Sharece Necole Campbell | Counselor | 525 Shenley Dr, Erie, PA 16505-2233 | 2019-11-21 |
| 1255974267 | Jordan Elizabeth Burns | Counselor | 3227 Highland Rd, Erie, PA 16506-3557 | 2019-10-22 |
| 1518518075 | Emily Mckay | Counselor | 366 Montgomery Dr, Erie, CO 80516-8478 | 2019-09-26 |
| 1275184962 | Elizabeth Grace Bricker | Counselor | 252 Locust St, Erie, PA 16508-2971 | 2019-09-24 |
| Find all providers in ERIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.