Active NPI
James Davis
- Pastoral Counselor
- Laveen, AZ
National Provider Identifier
1013567643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- 1846529
- Practice address
- 6827 W Carter Rd
Laveen, AZ 85339-7051 - Phone
- (602) 751-3823
- NPI assigned
- Sep 16, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | AZ | ||
| Professional Counselor | 101YP2500X | GA | ||
| School Counselor | 101YS0200X | AZ | ||
| Pastoral Counselor | 101YP1600X | 1846529 | MD | Primary |
Addresses
Primary practice location
6827 W Carter Rd
Laveen, AZ 85339-7051
Mailing address
6827 W Carter Rd
Laveen, AZ 85339-7051
Phone (602) 751-3823
Other practice location 1
306 E Harvard Ave
Gilbert, AZ 85234-3352
Phone (480) 310-2874
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1846529 | MD | MD | Pastoral Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Homes | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Gilbert, AZ
- NPI 1962059808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568592000000",
"number": "1013567643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6827 W CARTER RD",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853397051",
"telephone_number": "602-751-3823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6827 W CARTER RD",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853397051",
"telephone_number": "602-751-3823"
}
],
"practiceLocations": [
{
"address_1": "306 E Harvard Ave",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852343352",
"country_code": "US",
"telephone_number": "480-310-2874",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "JAMES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-16",
"last_updated": "2019-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "MD",
"license": "1846529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laveen, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.