Individual provider Active NPI

Martha Carter Davis, LPC CSAC

  • Counselor
  • Mechanicsville, VA
National Provider Identifier
1073651345
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0701004064 Issued in VA
Practice address
7374 Creighton Pkwy
East Hanover Family Counseling
Mechanicsville, VA 23111-4513
Phone
(804) 365-6781
Fax
(804) 365-6779
NPI assigned
Feb 1, 2007
Last updated
Nov 1, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0701004064 VA Primary
Counselor 101Y00000X 0710102135 VA

Addresses

Primary practice location

7374 Creighton Pkwy
East Hanover Family Counseling
Mechanicsville, VA 23111-4513

Mailing address

203 Hull St Apt 21W
Richmond, VA 23224-4288
Phone (804) 310-3982

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
0701004064VAMDCounselor
0710102135VAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1073651345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 HULL ST APT 21W",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232244288",
            "telephone_number": "804-310-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7374 CREIGHTON PKWY",
            "address_2": "EAST HANOVER FAMILY COUNSELING",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231114513",
            "telephone_number": "804-365-6781",
            "fax_number": "804-365-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER DAVIS",
        "first_name": "MARTHA",
        "name_prefix": "Ms.",
        "credential": "LPC CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701004064",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0710102135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.