Active NPI
Kathryn A Davis, MA
- Professional Counselor
- Frisco, CO
National Provider Identifier
1043494917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5004
- Practice address
- 360 Peak One Drive
Suite 110
Frisco, CO 80443 - Phone
- (970) 668-3478
- Fax
- (970) 668-0632
- NPI assigned
- Dec 27, 2007
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5004 | CO | Primary |
Addresses
Primary practice location
360 Peak One Drive
Suite 110
Frisco, CO 80443
Mailing address
PO Box 40
Glenwood Springs, CO 81602-0040
Phone (970) 945-2241
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5004 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234137600000",
"number": "1043494917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816020040",
"telephone_number": "970-945-2241",
"fax_number": "970-945-5523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 PEAK ONE DRIVE",
"address_2": "SUITE 110",
"city": "FRISCO",
"state": "CO",
"postal_code": "80443",
"telephone_number": "970-668-3478",
"fax_number": "970-668-0632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KATHRYN",
"middle_name": "A",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-27",
"last_updated": "2009-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "5004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.