Individual provider Active NPI

Cherisse Davis

  • Professional Counselor
  • Aurora, CO
National Provider Identifier
1194122960
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1504 Galena St
Aurora, CO 80010-2219
Phone
(303) 617-2300
NPI assigned
Nov 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

1504 Galena St
Aurora, CO 80010-2219

Mailing address

1290 Chambers Rd
Aurora, CO 80011-7117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20241021003515 CO Practitioner - Mental Health Counselor 6608308283 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Comprehensive Community Mental Health Center, Inc CurrentSince Oct 15, 2024 Accepting new patients
Aurora Comprehensive Community Mental Health Center, Inc CurrentSince Oct 15, 2024 Accepting new patients
Aurora Comprehensive Community Mental Health Center, Inc Current Accepting new patients
Aurora Comprehensive Community Mental Health Center Inc Past Accepting new patients

Locations

1504 Galena St
Aurora, CO 80010
Phone (303) 617-2498

14301 E Hampden Ave
Aurora, CO 80014
Phone (303) 617-2600

1290 Chambers Rd
Aurora, CO 80011
Phone (303) 617-2715

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1416614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1194122960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 CHAMBERS RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800117117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 GALENA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800102219",
            "telephone_number": "303-617-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHERISSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-22",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.