Active NPI
Holly Davis, LPC-IT
- Professional Counselor
- Eau Claire, WI
National Provider Identifier
1043080583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8334-226
- Practice address
- 120 S Barstow St
Eau Claire, WI 54701-3642 - Phone
- (715) 832-2221
- NPI assigned
- Jan 5, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Professional Counselor | 101YP2500X | 8334-226 | WI | Primary |
Addresses
Primary practice location
120 S Barstow St
Eau Claire, WI 54701-3642
Mailing address
120 S Barstow St
Eau Claire, WI 54701-3642
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 |
|---|---|---|---|
| 8334-226 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1043080583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 S BARSTOW ST",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547013642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 S BARSTOW ST",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547013642",
"telephone_number": "715-832-2221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "HOLLY",
"credential": "LPC-IT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-05",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "8334-226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.