Active NPI
Larena M Davis, PHD, LPC, LCADC, CCS
- Addiction (Substance Use Disorder) Counselor
- Cherry Hill, NJ
National Provider Identifier
1013210392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 761 Cuthbert Blvd
Cherry Hill, NJ 08002-3417 - Phone
- (856) 890-9449
- NPI assigned
- Dec 8, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
761 Cuthbert Blvd
Cherry Hill, NJ 08002-3417
Mailing address
133 Polk LN
Bridgeton, NJ 08302
Phone (856) 455-7575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Floating Feather Counseling | Current | Accepting new patients | |
| CMC Department of Medicine Group PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Cherry Hill, NJ
- NPI 1629946629
-
- Specialist
- Camden, NJ
- NPI 1386682094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605225600000",
"number": "1013210392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 POLK LN",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "08302",
"telephone_number": "856-455-7575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 CUTHBERT BLVD",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080023417",
"telephone_number": "856-890-9449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "LARENA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHD, LPC, LCADC, CCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-08",
"last_updated": "2020-11-13",
"certification_date": "2020-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.