Chameleon Davis, DPC, LBSW, MAC, CMHT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1970 Grandview Dr
Grenada, MS 38901-5066

Phone

(662) 227-3700

NPI assigned

May 16, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Region One Mental Health Center

  • Public Health or Welfare Agency
  • Clarksdale, MS
  • NPI 1669499687
  NPD (past)
• Region VI Community Mental Health Commission

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenwood, MS
  • NPI 1154433233
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1003472838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 BROWNING ROAD 520",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389306022",
            "telephone_number": "662-757-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 GRANDVIEW DR",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389015066",
            "telephone_number": "662-227-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 N Market St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "MS",
            "postal_code": "389212351",
            "country_code": "US",
            "telephone_number": "662-647-3240 x1101",
            "fax_number": "662-625-7801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Locust St",
            "address_purpose": "LOCATION",
            "city": "Marks",
            "state": "MS",
            "postal_code": "386461309",
            "country_code": "US",
            "telephone_number": "662-326-4445 x6100",
            "fax_number": "662-326-3452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1361 Sharkey Rd",
            "address_purpose": "LOCATION",
            "city": "Glendora",
            "state": "MS",
            "postal_code": "389282565",
            "country_code": "US",
            "telephone_number": "662-902-9833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHAMELEON",
        "name_prefix": "Dr.",
        "credential": "DPC, LBSW, MAC, CMHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "PH6485",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "558",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "W11331",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betsy Cummings, CFNP
• Robyn Richardson Dalton
• Darley J Solomon Jr MD PC
• David R Braswell DMD PA
• April N Davis, LPC, NCC
• Laura Davis
• Benjamin Edward Dehart, D.M.D.
• Delta Rehab Contract Services, Inc.
• Janet B Dickey, RPH
• Daneca M. Dipaolo, MD

• Mental Health Counselor in Grenada, MS
• Providers in Grenada, MS by specialty
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.