Active NPI
Alice Wade Davis, PASTORAL COUNSELOR
- Pastoral Counselor
- Greensboro, NC
National Provider Identifier
1003724162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- 2012
- Practice address
- 134 Queensberry CT
Greensboro, NC 27405-4899 - Phone
- (919) 273-2149
- Fax
- (336) 203-3644
- NPI assigned
- Aug 31, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | 2012 | NC | Primary |
Addresses
Primary practice location
134 Queensberry CT
Greensboro, NC 27405-4899
Mailing address
134 Queensberry CT
134 Queensberry CT
Greensboro, NC 27405-4899
Phone (919) 273-2149
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1003724162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 QUEENSBERRY CT",
"address_2": "134 QUEENSBERRY CT",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274054899",
"telephone_number": "919-273-2149",
"fax_number": "336-203-3644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 QUEENSBERRY CT",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274054899",
"telephone_number": "919-273-2149",
"fax_number": "336-203-3644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ALICE",
"middle_name": "WADE",
"credential": "PASTORAL COUNSELOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "NC",
"license": "2012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.