Active NPI
Miriam R. Davis, M.S., M.ED., LMHC
- Mental Health Counselor
- West Palm Beach, FL
National Provider Identifier
1073717872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 784
- Practice address
- 2001 Palm Beach Lakes Blvd.
Suite 300P
West Palm Beach, FL 33409-6515 - Phone
- (561) 253-0530
- Fax
- (561) 697-0004
- NPI assigned
- Jun 14, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH 784 | FL | Primary |
Addresses
Primary practice location
2001 Palm Beach Lakes Blvd.
Suite 300P
West Palm Beach, FL 33409-6515
Mailing address
2001 Palm Beach Lakes Blvd.
Suite 300P
West Palm Beach, FL 33409-6515
Phone (561) 253-0530
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 Education, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH 784 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073717872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 PALM BEACH LAKES BLVD.",
"address_2": "SUITE 300P",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334096515",
"telephone_number": "561-253-0530",
"fax_number": "561-697-0004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 PALM BEACH LAKES BLVD.",
"address_2": "SUITE 300P",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334096515",
"telephone_number": "561-253-0530",
"fax_number": "561-697-0004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MIRIAM",
"middle_name": "R.",
"name_prefix": "Ms.",
"credential": "M.S., M.ED., LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.