ELIZABETH K DAMMEYER APCC
NPI 1710746748
Counselor - Professional in San Diego, CA

Active since March 13, 2024PECOS Enrolled
3420 KENYON ST, SAN DIEGO, CA 92110(619) 221-6550 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elizabeth K Dammeyer Apcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH K DAMMEYER APCC (NPI 1710746748) is an individual professional provider in San Diego, California, licensed in California (14327) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1710746748
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameELIZABETH K DAMMEYERCredential: APCC
Location Address3420 KENYON STSan Diego, CA 92110-5001
Mailing Address3420 Kenyon StSan Diego, CA 92110-5001 · (773) 750-6610
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 13, 2024
Last NPPES UpdateMay 7, 2024
NPPES CertifiedMarch 13, 2024
✔ NPI 1710746748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · 14327
3420 KENYON ST, San Diego, CA 92110

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth K Dammeyer Apcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800354754
PECOS Enrollment IDI20260820002212
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Elizabeth Dammeyer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
1288 CAMINO DEL RIO N
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
3420 KENYON ST
SAN DIEGO, CA 92110
Social Worker (Clinical)
3420 KENYON ST
SAN DIEGO, CA 92110
Registered Nurse (Psychiatric/Mental Health, Adult)
3420 KENYON ST
SAN DIEGO, CA 92110
Marriage & Family Therapist
3420 KENYON ST
SAN DIEGO, CA 92110
Counselor (Mental Health)
3420 KENYON ST
SAN DIEGO, CA 92110
Psychiatric Hospital
3420 KENYON ST
SAN DIEGO, CA 92110
Social Worker (Clinical)
3420 KENYON ST
SAN DIEGO, CA 92110
Health Maintenance Organization
3420 KENYON ST
SAN DIEGO, CA 92110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Dammeyer's NPI number?

The NPI number for Elizabeth Dammeyer is 1710746748. It was assigned to this individual provider in the NPPES registry on March 13, 2024.

Where is Elizabeth Dammeyer located?

Elizabeth Dammeyer practices at 3420 Kenyon St, San Diego, CA 92110. The listed phone number is (619) 221-6550.

What is Elizabeth Dammeyer's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Elizabeth Dammeyer enrolled in Medicare?

Yes. Elizabeth Dammeyer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elizabeth Dammeyer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Dammeyer reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Dammeyer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elizabeth Dammeyer was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.