Individual provider Active NPI

Wesley Earl Davis, M ED

  • Mental Health Counselor
  • Greenville, SC
National Provider Identifier
1124135199
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
110 Manly St
Greenville, SC 29601-3025
Phone
(864) 625-3156
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

110 Manly St
Greenville, SC 29601-3025

Mailing address

110 Manly St
Greenville, SC 29601-3025
Phone (864) 625-3156

Other practice location 1

1527 Wade Hampton Blvd
Greenville, SC 29609-5047
Phone (864) 501-3633

Other identifiers 2

IdentifierTypeStateIssuer
301100MedicaidSC
PC2200MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240524001383 SC Practitioner - Mental Health Counselor 9537501333 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beauty for Ashes Counseling, LLCGroup PAC ID 5294059515, 6 clinicians

Practice addresses (Care Compare)

1527 Wade Hampton Blvd
Greenville, SC 29609-5047
Phone (864) 501-3633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Beauty for Ashes Counseling, LLC Mental Health CurrentSince May 10, 2024 Accepting new patients
Davis Counseling Service LLC CurrentSince Oct 14, 2025 Accepting new patients

Locations

110 Manly St
Greenville, SC 29601
Phone (864) 298-8026

1527 Wade Hampton Blvd
Greenville, SC 29609
Phone (864) 501-3633

556 S Pike W
Sumter, SC 29150
Phone (864) 501-3633

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756684800000",
    "number": "1124135199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MANLY ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013025",
            "telephone_number": "864-625-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MANLY ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013025",
            "telephone_number": "864-625-3156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1527 Wade Hampton Blvd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296095047",
            "country_code": "US",
            "telephone_number": "864-501-3633",
            "fax_number": "864-448-1766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "WESLEY",
        "middle_name": "EARL",
        "name_prefix": "Mr.",
        "credential": "M ED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301100",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC2200",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.