Active NPI
Heather Anne Davis, LPC
- Counselor
- Meridian, ID
National Provider Identifier
1023447273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC-5022
- Practice address
- 3043 S Meridian Rd
Suite 125
Meridian, ID 83642-7922 - Phone
- (208) 884-0033
- Fax
- (208) 884-5258
- NPI assigned
- Nov 8, 2013
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC-5022 | ID | Primary |
Addresses
Primary practice location
3043 S Meridian Rd
Suite 125
Meridian, ID 83642-7922
Mailing address
2952 S Appia Ave
Meridian, ID 83642-7951
Phone (208) 890-4451
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 |
|---|---|---|---|
| LPC-5022 | ID | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383868800000",
"number": "1023447273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2952 S APPIA AVE",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836427951",
"telephone_number": "208-890-4451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3043 S MERIDIAN RD",
"address_2": "SUITE 125",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836427922",
"telephone_number": "208-884-0033",
"fax_number": "208-884-5258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "HEATHER",
"middle_name": "ANNE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-08",
"last_updated": "2013-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ID",
"license": "LPC-5022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.