Individual provider Active NPI

Angela L Davis

  • Mental Health Counselor
  • Anniston, AL
National Provider Identifier
1174774111
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C607A Issued in AL
Practice address
1302 Noble St
Suite 2H
Anniston, AL 36201-4693
Phone
(256) 238-0980
Fax
(256) 237-1652
NPI assigned
Oct 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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 C607A AL Primary

Addresses

Primary practice location

1302 Noble St
Suite 2H
Anniston, AL 36201-4693

Mailing address

1302 Noble St
Suite 2H
Anniston, AL 36201-4693
Phone (256) 238-0980

Other names 1

  • Ms. Angela L Davis Professional name

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
C607AALMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223424000000",
    "number": "1174774111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 NOBLE ST",
            "address_2": "SUITE 2H",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362014693",
            "telephone_number": "256-238-0980",
            "fax_number": "256-237-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 NOBLE ST",
            "address_2": "SUITE 2H",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362014693",
            "telephone_number": "256-238-0980",
            "fax_number": "256-237-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANGELA",
        "middle_name": "L",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "C607A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "DAVIS",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "ALC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Anniston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.