Paula Davis, ED.S, LPC, NCC, NCSC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2116 Issued in MS

Practice address

72 Northwood Dr
Waynesboro, MS 39367-9045

Phone

(601) 410-7771

Fax

(601) 735-4195

NPI assigned

Aug 4, 2016

Sex

Female

Sole proprietor

Yes

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.

• P&P Counseling Services Waynesboro Branch

  • Community/Behavioral Health Agency
  • Waynesboro, MS
  • NPI 1720858582

  MS

  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 23, 2023.

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1003360256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 NORTHWOOD DR",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393679045",
            "telephone_number": "601-410-7771",
            "fax_number": "601-735-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 NORTHWOOD DR",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393679045",
            "telephone_number": "601-410-7771",
            "fax_number": "601-735-4195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72 Northwood Dr",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "MS",
            "postal_code": "393679045",
            "country_code": "US",
            "telephone_number": "601-410-7771",
            "fax_number": "601-735-4195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "PAULA",
        "credential": "ED.S, LPC, NCC, NCSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "86963",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "2116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Waynesboro, MS
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.