Individual provider Active NPI

Victoria Davis, MA , MS, LPC, LBSW

  • Counselor
  • Corpus Christi, TX
National Provider Identifier
1114975448
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
16729 Issued in TX
Practice address
6500 S Padre Island Dr
2
Corpus Christi, TX 78412-4065
Phone
(361) 853-0091
Fax
(361) 853-2502
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 16729 TX Primary

Addresses

Primary practice location

6500 S Padre Island Dr
2
Corpus Christi, TX 78412-4065

Mailing address

6500 S Padre Island Dr
2
Corpus Christi, TX 78412-4065
Phone (361) 853-0091

Other identifiers 1

IdentifierTypeStateIssuer
143058902MedicaidTX

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)
Enrolled
Credentials
Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
16729TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Benwood Counseling Service, LLC PastSince Apr 28, 2006 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.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1114975448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 S PADRE ISLAND DR",
            "address_2": "2",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124065",
            "telephone_number": "361-853-0091",
            "fax_number": "361-853-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 S PADRE ISLAND DR",
            "address_2": "2",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124065",
            "telephone_number": "361-853-0091",
            "fax_number": "361-853-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "VICTORIA",
        "credential": "MA , MS, LPC, LBSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "16729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143058902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.