Kelcie Davis, ATR-BC, LPAT

Primary specialty

Art TherapistTaxonomy code 221700000X

License

277306 Issued in KY

Practice address

110 Village Dr
Elizabethtown, KY 42701-2423

Phone

(812) 719-5300

NPI assigned

Jul 12, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Expression of Mind, LLC

  • Art Therapist
  • Louisville, KY
  • NPI 1801772207
  NPD Authorized official

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1003653445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7709 SIERRA TRL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402144634",
            "telephone_number": "812-719-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 VILLAGE DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012423",
            "telephone_number": "812-719-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7709 Sierra Trl",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402144634",
            "country_code": "US",
            "telephone_number": "812-719-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KELCIE",
        "credential": "ATR-BC, LPAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "KY",
            "license": "277306",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "277306",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenohn Tomiko Davis-Gregory
• Alexis Davis, PT,DPT
• Autumn Davis
• Charlotte Campbell Davis, LPCC
• Kathryn Davis, M.S. CCC-SLP
• Lesa Ann Davis, RN
• Sarah Abigail Davis, LPCA
• Dawood SLP LLC
• Cameron Paige Dawson, FNP-C
• Brittney Nicole Day, AA, BA, MA

• Art Therapist in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Art Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.