Individual provider Active NPI

Janis Nicole Davila, M.S.

  • Counselor
  • Ypsilanti, MI
National Provider Identifier
1114651445
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401225834 Issued in MI
Practice address
2520 Packard Rd Ste 4
Ypsilanti, MI 48197-2245
Phone
(734) 480-8099
Fax
(734) 999-3779
NPI assigned
Jul 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401225834 MI Primary
Counselor 101Y00000X 101061 TX

Addresses

Primary practice location

2520 Packard Rd Ste 4
Ypsilanti, MI 48197-2245

Mailing address

1007 Las Brisas Dr
Mission, TX 78574-0480
Phone (956) 445-7033

Other names 1

  • Janis Nicole Davila Professional name

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 Science

State licenses

LicenseStateTypeSpecialty
6401225834MIMDCounselor
101061TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Path Counseling, PLLC Current Accepting new patients
Prosperity Counseling and Supervision, LLC CurrentSince Nov 6, 2022 Accepting new patients

Locations

2520 Packard Rd
Ste 4
Ypsilanti, MI 48197
Phone (734) 219-5015

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1114651445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 LAS BRISAS DR",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785740480",
            "telephone_number": "956-445-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 PACKARD RD STE 4",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972245",
            "telephone_number": "734-480-8099",
            "fax_number": "734-999-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA",
        "first_name": "JANIS",
        "middle_name": "NICOLE",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401225834",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "101061",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANIS",
            "last_name": "DAVILA",
            "middle_name": "NICOLE",
            "credential": "M.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.