Individual provider Active NPI

Adaysia Davis, LMHC LIC#: 009918

  • Mental Health Counselor
  • Hempstead, NY
National Provider Identifier
1174086821
Registry record updated Nov 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009918 Issued in NY
Practice address
175 Fulton Ave Ste 403
Hempstead, NY 11550-3702
Phone
(516) 486-3222
NPI assigned
Apr 10, 2019
Last updated
Nov 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X 009918 NY Primary

Addresses

Primary practice location

175 Fulton Ave Ste 403
Hempstead, NY 11550-3702

Mailing address

50 Margaret Dr
Roosevelt, NY 11575-1535
Phone (516) 448-9575

Other practice location 1

6143 186th St
Fresh Meadows, NY 11365-2710
Phone (917) 983-0134

Other practice location 2

134 S Ocean Ave
Freeport, NY 11520-4453
Phone (917) 983-0134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250813000814 NY Practitioner - Mental Health Counselor 0244738763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

139 Centre St
New York, NY 10013-4552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Valera Medical, P.C. Mental Health CurrentSince Jun 25, 2025 Accepting new patients
Education and Assistance Corporation Addiction (Substance Use Disorder) Past Accepting new patients
Eac Inc Past Accepting new patients

Locations

134 N 4th St
Brooklyn, NY 11249

139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793577600000",
    "number": "1174086821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MARGARET DR",
            "city": "ROOSEVELT",
            "state": "NY",
            "postal_code": "115751535",
            "telephone_number": "516-448-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FULTON AVE STE 403",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503702",
            "telephone_number": "516-486-3222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6143 186th St",
            "address_purpose": "LOCATION",
            "city": "Fresh Meadows",
            "state": "NY",
            "postal_code": "113652710",
            "country_code": "US",
            "telephone_number": "917-983-0134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "134 S Ocean Ave",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "NY",
            "postal_code": "115204453",
            "country_code": "US",
            "telephone_number": "917-983-0134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ADAYSIA",
        "credential": "LMHC LIC#: 009918",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

Verify at the official NPI Registry.