Individual provider Active NPI

Trevor C. Davis, LSW, LCDC-III

  • Mental Health Counselor
  • Worthington, OH
National Provider Identifier
1033688742
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
S.1802280 Issued in OH
Practice address
6797 N High St Ste 350
Worthington, OH 43085-2533
Phone
(877) 828-3889
Fax
(614) 888-3239
NPI assigned
Nov 26, 2018
Last updated
Nov 26, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCDCIII.161777 OH
Mental Health Counselor 101YM0800X S.1802280 OH Primary

Addresses

Primary practice location

6797 N High St Ste 350
Worthington, OH 43085-2533

Mailing address

6797 N High St Ste 350
Worthington, OH 43085-2533
Phone (877) 828-3889

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

LicenseStateTypeSpecialty
LCDCIII.161777OHMDAddiction (Substance Use Disorder) Counselor
S.1802280OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Directions Counseling Group, Inc. Mental Health 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1033688742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6797 N HIGH ST STE 350",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852533",
            "telephone_number": "877-828-3889",
            "fax_number": "614-888-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6797 N HIGH ST STE 350",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852533",
            "telephone_number": "877-828-3889",
            "fax_number": "614-888-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TREVOR",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "LSW, LCDC-III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LCDCIII.161777",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "S.1802280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.