Active NPI
James E Davis III, LPCC
- Addiction (Substance Use Disorder) Counselor
- Springfield, OH
National Provider Identifier
1093031890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- E0000731
- Practice address
- 825 E High St
Springfield, OH 45505-1198 - Phone
- (937) 323-0951
- Fax
- (937) 933-4050
- NPI assigned
- Apr 19, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | E0000731 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | E0000731 | OH | Primary |
| Marriage & Family Therapist | 106H00000X | E0000731 | OH |
Addresses
Primary practice location
825 E High St
Springfield, OH 45505-1198
Mailing address
5756 Willowdale Rd
Springfield, OH 45502-8910
Phone (937) 323-0951
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265764692 | Other | OH | GROUP NPI |
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 |
|---|---|---|---|
| E0000731 | OH | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reasonable Choices, Inc | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Case Management Agency
- Springfield, OH
- NPI 1013232685
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271635200000",
"number": "1093031890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5756 WILLOWDALE RD",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455028910",
"telephone_number": "937-323-0951",
"fax_number": "937-933-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 E HIGH ST",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455051198",
"telephone_number": "937-323-0951",
"fax_number": "937-933-4050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JAMES",
"middle_name": "E",
"name_suffix": "III",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-19",
"last_updated": "2010-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "E0000731",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "E0000731",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OH",
"license": "E0000731",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1265764692",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.