Active NPI
Elaina M Davis, LPC
- Professional Counselor
- Anchorage, AK
National Provider Identifier
1124535588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 218804
- Practice address
- 6440 Fairweather Dr
Anchorage, AK 99518-2209 - Phone
- (907) 217-3757
- NPI assigned
- Jan 8, 2018
- 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 | 218804 | AK | Primary |
Addresses
Primary practice location
6440 Fairweather Dr
Anchorage, AK 99518-2209
Mailing address
PO Box 230861
Anchorage, AK 99523-0861
Phone (907) 217-3757
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 |
|---|---|---|---|
| 218804 | AK | MD | Professional Counselor |
Interoperability endpoints
- https://api.platform.athenahealth.com/18095/brand/2/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1124535588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 230861",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995230861",
"telephone_number": "907-217-3757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6440 FAIRWEATHER DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995182209",
"telephone_number": "907-217-3757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ELAINA",
"middle_name": "M",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-08",
"last_updated": "2024-04-01",
"certification_date": "2024-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AK",
"license": "218804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.