MR. DOUG DAMRON (M.S.,L.P.C.) – Professional Counselor, NPI 1083611495

MR. DOUG DAMRON (M.S.,L.P.C.) is a healthcare provider. based in Little rock, Arkansas. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M.S.,L.P.C.. They hold a License No. P8903002 (AR). The NPI Number for MR. DOUG DAMRON (M.S.,L.P.C.) is 1083611495

Main info

Male
50 Years Of Experience
Name
MR. DOUG DAMRON (M.S.,L.P.C.)
NPI
1083611495
Phone
(501) 225-0576
Address
1301 WILSON RD
Enumeration Date
30 June 2005
Last Update Date
15 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5012250576
Graduation Year
1976 (50 years ago)
PAC ID
5799262317
Group Practice PAC ID
5698142248
Professional Enrollment ID
I20260124000180
Address ID
AR722056659LI1301XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

640 MENTAL HEALTH COUNSELOR in AR

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Provider Addresses for MR. DOUG DAMRON (M.S.,L.P.C.)

  • 1301, Wilson Road, Kensington Place, Little Rock, Pulaski County, Arkansas, 72205, United States

    LITTLE ROCK, AR 722056659

    Phone: (501) 225-0576

    Fax: (501) 225-6789

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260124000180IMental Health CounselorARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72205)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698142248View full group profile
NameSpecialtyState
Clinical Social WorkerAR
P S Y C H I A T R YAR
P S Y C H I A T R YAR
Nurse PractitionerAR
Clinical Social WorkerAR
P S Y C H I A T R YMD
Nurse PractitionerAR
Nurse PractitionerAR
Clinical Social WorkerAR

Reviews

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Frequently asked questions

Is there an official ID for MR. DOUG DAMRON (M.S.,L.P.C.) in U.S. healthcare records?
The official identifier for MR. DOUG DAMRON (M.S.,L.P.C.) is NPI 1083611495.
Is MR. DOUG DAMRON (M.S.,L.P.C.) still an active registrant?
MR. DOUG DAMRON (M.S.,L.P.C.) carries an active NPI according to the public dataset.
What area of care is associated with MR. DOUG DAMRON (M.S.,L.P.C.)?
MR. DOUG DAMRON (M.S.,L.P.C.)'s record emphasizes Professional Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. DOUG DAMRON (M.S.,L.P.C.)?
Directory geography for MR. DOUG DAMRON (M.S.,L.P.C.) centers on Little Rock, Arkansas.
When was this NPI issued?
Enumeration for MR. DOUG DAMRON (M.S.,L.P.C.) is noted as June 30, 2005 where the registry provides it.

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