Active NPI
Da Shanda Deas-Davis, LPC
- Mental Health Counselor
- Killeen, TX
National Provider Identifier
1013783844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 84627
- Practice address
- 2711 Alamocitos Creek Dr
Killeen, TX 76549-5470 - Phone
- (254) 371-0056
- NPI assigned
- Dec 4, 2023
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 84627 | TX | Primary |
Addresses
Primary practice location
2711 Alamocitos Creek Dr
Killeen, TX 76549-5470
Mailing address
2711 Alamocitos Creek Dr
Killeen, TX 76549-5470
Phone (254) 371-0056
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 |
|---|---|---|---|
| 84627 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1013783844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2711 ALAMOCITOS CREEK DR",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765495470",
"telephone_number": "254-371-0056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2711 ALAMOCITOS CREEK DR",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765495470",
"telephone_number": "254-371-0056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAS-DAVIS",
"first_name": "DA SHANDA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-04",
"last_updated": "2023-12-04",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "84627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.