Kelvin J Davis Jr., LPC-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

93076 Issued in TX

Practice address

701 Highway 352 Ste A100
Mesquite, TX 75149-6897

Phone

(214) 642-9695

NPI assigned

Oct 7, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Conscious Mind Counseling Group PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Garland, TX
  • NPI 1972260370
  NPD (past)

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1104645159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17601 PRESTON RD APT 273",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525753",
            "telephone_number": "214-735-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 HIGHWAY 352 STE A100",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751496897",
            "telephone_number": "214-642-9695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2306 Guthrie Rd Ste 260K",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750435967",
            "country_code": "US",
            "telephone_number": "214-530-9377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KELVIN",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "LPC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "93076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amie Lynn Davis, MA CCC-SLP
• Anniya Davis
• Brandt Lewis Davis, DPM
• Cassandra Denise Davis
• Desiree Davis
• Michael Blake Davis, LPC
• Rachel Davis, PT, DPT
• Taneeka Davis
• Glen Day
• Rajni Dayal, PERSONAL CARE GIVER

• Mental Health Counselor in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.