Individual provider Active NPI

Zahra Michelle Amber Davis-Diallo, LGPC

  • Mental Health Counselor
  • Upper Marlboro, MD
National Provider Identifier
1134950728
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC18723 Issued in MD
Practice address
9750 Apollo Dr # B29
Upper Marlboro, MD 20774-4924
Phone
(240) 795-2883
NPI assigned
Aug 13, 2024
Last updated
Oct 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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 LC18723 MD Primary

Addresses

Primary practice location

9750 Apollo Dr # B29
Upper Marlboro, MD 20774-4924

Mailing address

6641 Wayne Ave
Philadelphia, PA 19119-3519
Phone (267) 370-4283

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

LicenseStateTypeSpecialty
LGP15265MDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792627200000",
    "number": "1134950728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6641 WAYNE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191193519",
            "telephone_number": "267-370-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 APOLLO DR # B29",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207744924",
            "telephone_number": "240-795-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-DIALLO",
        "first_name": "ZAHRA",
        "middle_name": "MICHELLE AMBER",
        "credential": "LGPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC18723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.