Active NPI
William Augusta Davis Jr., LHMC, LPC, LCDC, MAC
- Mental Health Counselor
- Fort Sam Houston, TX
National Provider Identifier
1093892515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH 60024561
- Practice address
- Behavioral Health Medicine-Multi-D Clinic
3551 Roger Brooke Drive
Fort Sam Houston, TX 78234-4504 - Phone
- (210) 808-6460
- Fax
- (210) 539-9400
- NPI assigned
- Nov 1, 2006
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 75551 | NC | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 156855 | NC | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 9787 | TX | |
| Professional Counselor | 101YP2500X | 178.002744 | IL | |
| Mental Health Counselor | 101YM0800X | LH 60024561 | WA | Primary |
Addresses
Primary practice location
Behavioral Health Medicine-Multi-D Clinic
3551 Roger Brooke Drive
Fort Sam Houston, TX 78234-4504
Mailing address
Behavioral Health Medicine-Multi-D Clinic, Bamc
4178 Petroleum Drive, BLDG 3528R
Fort Sam Houston, TX 78234
Phone (210) 916-4242
Other practice location 1
Brooke Army Medical Center, 7 West, RTF Clinic
3551 Roger Brooke Drive
Fort Sam Houston, TX 78234
Phone (210) 539-9819
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 |
|---|---|---|---|
| 75551 | NC | MD | Counselor |
| 156855 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 9787 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| LH 60024561 | WA | MD | Mental Health Counselor |
| 178.002744 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612483200000",
"number": "1093892515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BEHAVIORAL HEALTH MEDICINE-MULTI-D CLINIC, BAMC",
"address_2": "4178 PETROLEUM DRIVE, BLDG 3528R",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "78234",
"telephone_number": "210-916-4242",
"fax_number": "210-539-5467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BEHAVIORAL HEALTH MEDICINE-MULTI-D CLINIC",
"address_2": "3551 ROGER BROOKE DRIVE",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-808-6460",
"fax_number": "210-539-9400"
}
],
"practiceLocations": [
{
"address_1": "Brooke Army Medical Center, 7 West, RTF Clinic",
"address_2": "3551 Roger Brooke Drive",
"address_purpose": "LOCATION",
"city": "Fort Sam Houston",
"state": "TX",
"postal_code": "78234",
"country_code": "US",
"telephone_number": "210-539-9819",
"fax_number": "210-916-7909",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "WILLIAM",
"middle_name": "AUGUSTA",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LHMC, LPC, LCDC, MAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2021-02-05",
"certification_date": "2021-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "75551",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "156855",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "9787",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.002744",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH 60024561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.