Active NPI
Gloria Fenner Davis, LPC
- Professional Counselor
- Rocky Mount, NC
National Provider Identifier
1194850776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4321
- Practice address
- 300 N Grace St
Suite 228
Rocky Mount, NC 27804-5345 - Phone
- (252) 908-4120
- NPI assigned
- Feb 22, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4321 | NC | Primary |
Addresses
Primary practice location
300 N Grace St
Suite 228
Rocky Mount, NC 27804-5345
Mailing address
PO Box 2031
Rocky Mount, NC 27802-2031
Phone (252) 908-4120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6103387 | Medicaid | NC |
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 |
|---|---|---|---|
| 4321 | NC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389744000000",
"number": "1194850776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2031",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278022031",
"telephone_number": "252-908-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N GRACE ST",
"address_2": "SUITE 228",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278045345",
"telephone_number": "252-908-4120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "GLORIA",
"middle_name": "FENNER",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2014-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "4321",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6103387",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.