Individual provider Active NPI

Courtney B Davis, LCPC

  • Professional Counselor
  • Eldersburg, MD
National Provider Identifier
1053634550
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC5095 Issued in MD
Practice address
2312 Lake Circle Dr
Eldersburg, MD 21784-6331
Phone
(410) 371-6555
NPI assigned
Mar 11, 2010
Last updated
Nov 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5327 CO
Mental Health Counselor 101YM0800X LC5095 MD
Professional Counselor 101YP2500X LC5095 MD Primary

Addresses

Primary practice location

2312 Lake Circle Dr
Eldersburg, MD 21784-6331

Mailing address

27 Longwell Ave
Westminster, MD 21157-5114
Phone (410) 371-6555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240119000479 MD Practitioner - Mental Health Counselor 2961854567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Perspectives LLCGroup PAC ID 3870898109, 22 clinicians

Practice addresses (Care Compare)

6 Park Ctr CT
Suite 103
Owings Mills, MD 21117-5603
Phone 4103563344150

904 Washington Rd
Suite a
Westminster, MD 21157-5838
Phone 4107519205150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5327COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Perspectives LLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Cynthia Voelz Mental Health Past Accepting new patients

Locations

1447 York Rd
Ste 802
Lutherville, MD 21093
Phone (410) 356-3344

6 Park Center Ct
Ste 103
Owings Mills, MD 21117
Phone (410) 356-3344

904 Washington Rd
Ste A
Westminster, MD 21157
Phone (410) 751-9205

Organizations & group practices 2

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": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1053634550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 LONGWELL AVE",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575114",
            "telephone_number": "410-371-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 LAKE CIRCLE DR",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846331",
            "telephone_number": "410-371-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "COURTNEY",
        "middle_name": "B",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-11",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "5327",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC5095",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC5095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldersburg, MD

Sources for this page

Verify at the official NPI Registry.