Active NPI
Jamila Iris Davis, LMSW
- Social Worker
- Austin, TX
National Provider Identifier
1124759436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 68973
- Practice address
- 802 Lydia St
Austin, TX 78702-2623 - Phone
- (512) 829-8738
- NPI assigned
- Jun 19, 2022
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 68973 | TX | Primary |
Addresses
Primary practice location
802 Lydia St
Austin, TX 78702-2623
Mailing address
802 Lydia St
Austin, TX 78702-2623
Phone (512) 829-8738
Other practice location 1
4112 Marathon Blvd
Austin, TX 78756-3720
Phone (512) 956-6772
Other practice location 2
5008 Bonneville Bnd
Austin, TX 78744-5431
Phone (757) 876-0694
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jamila@colorsofaustincounseling.com | Direct | Colors of Austin Counseling |
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 |
|---|---|---|---|
| 68973 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655596800000",
"number": "1124759436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 LYDIA ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787022623",
"telephone_number": "512-829-8738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 LYDIA ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787022623",
"telephone_number": "512-829-8738"
}
],
"practiceLocations": [
{
"address_1": "4112 Marathon Blvd",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787563720",
"country_code": "US",
"telephone_number": "512-956-6772",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5008 Bonneville Bnd",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787445431",
"country_code": "US",
"telephone_number": "757-876-0694",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "JAMILA",
"middle_name": "IRIS",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-19",
"last_updated": "2022-06-19",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "68973",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jamila@colorsofaustincounseling.com",
"affiliation": "Y",
"endpointDescription": "Secure Messaging",
"affiliationName": "Colors of Austin Counseling",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "802 Lydia St",
"city": "Austin",
"state": "TX",
"country_code": "US",
"postal_code": "787022623",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.