Individual provider Active NPI

Nicole Davis, LPCC-S

  • Mental Health Counselor
  • Louisville, KY
National Provider Identifier
1184295669
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
275068 Issued in KY
Practice address
4010 Dupont Cir Ste 403
Louisville, KY 40207-4837
Phone
(502) 825-1375
NPI assigned
Jul 7, 2021
Last updated
Jun 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 275068 KY Primary
Professional Counselor 101YP2500X 261631 KY

Addresses

Primary practice location

4010 Dupont Cir Ste 403
Louisville, KY 40207-4837

Mailing address

4010 Dupont Cir Ste B-173
Louisville, KY 40207-4812
Phone (502) 825-1375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20241003000531 KY Practitioner - Other (Non-Physician) 2163953001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acadia CounselingGroup PAC ID 3870024722, 6 clinicians

Practice addresses (Care Compare)

4010 Dupont Cir
Suite B173
Louisville, KY 40207-4812
Phone (502) 825-1375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
275068KYMDMental Health Counselor
261631KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Findwell Counseling, LLC CurrentSince Sep 1, 2021 Accepting new patients
Acadia Counseling Mental Health CurrentSince Jun 1, 2024 Accepting new patients

Locations

4010 DuPont Cir
Ste 403
Louisville, KY 40207
Phone (502) 825-1375

4010 DuPont Cir
Ste B173
Louisville, KY 40207
Phone (502) 825-1375

300 Maple St
Ste 2
Murray, KY 42071
Phone (270) 339-4201

Organizations & group practices 2

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": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1184295669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 DUPONT CIR STE B-173",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074812",
            "telephone_number": "502-825-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 DUPONT CIR STE 403",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074837",
            "telephone_number": "502-825-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NICOLE",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "275068",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "261631",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.