Active NPI
Bryonna Davis, LGPC
- Professional Counselor
- Largo, MD
National Provider Identifier
1104581982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LGP11039
- Practice address
- 9475 Lottsford Rd Ste 250
Largo, MD 20774-5346 - Phone
- (301) 636-6504
- NPI assigned
- Nov 5, 2021
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LGP11039 | MD | Primary |
Addresses
Primary practice location
9475 Lottsford Rd Ste 250
Largo, MD 20774-5346
Mailing address
1346 4TH St SE Apt 807
Washington, DC 20003-2647
Phone (804) 873-4887
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 |
|---|---|---|---|
| LGP11039 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636070400000",
"number": "1104581982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1346 4TH ST SE APT 807",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200032647",
"telephone_number": "804-873-4887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9475 LOTTSFORD RD STE 250",
"city": "LARGO",
"state": "MD",
"postal_code": "207745346",
"telephone_number": "301-636-6504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "BRYONNA",
"credential": "LGPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-05",
"last_updated": "2021-11-05",
"certification_date": "2021-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LGP11039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Largo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.