Active NPI
Joseph F Davis III
- Addiction (Substance Use Disorder) Counselor
- Lexington, KY
National Provider Identifier
1154071868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 269843
- Practice address
- 3050 Rio Dosa Dr
Lexington, KY 40509-1540 - Phone
- (859) 269-2325
- Fax
- (859) 268-6473
- NPI assigned
- Mar 25, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 269843 | KY | Primary |
Addresses
Primary practice location
3050 Rio Dosa Dr
Lexington, KY 40509-1540
Mailing address
117 Estonia Dr
Richmond, KY 40475-9019
Phone (859) 893-2842
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 |
|---|---|---|---|
| 269843 | KY | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651017600000",
"number": "1154071868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 ESTONIA DR",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404759019",
"telephone_number": "859-893-2842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 RIO DOSA DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405091540",
"telephone_number": "859-269-2325",
"fax_number": "859-268-6473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JOSEPH",
"middle_name": "F",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-25",
"last_updated": "2022-04-27",
"certification_date": "2022-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KY",
"license": "269843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.