Individual provider Active NPI

Griena Hermaine Knight Davis, ED.D., LPC

  • Professional Counselor
  • Birmingham, AL
National Provider Identifier
1215308499
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C2286A Issued in AL
Practice address
5413 Court H
Birmingham, AL 35208-3016
Phone
(205) 923-7347
NPI assigned
Oct 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 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 C2286A AL Primary

Addresses

Primary practice location

5413 Court H
Birmingham, AL 35208-3016

Mailing address

5413 Court H
Birmingham, AL 35208-3016
Phone (205) 923-7347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20240320002645 AL Practitioner - Mental Health Counselor 4183061641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brightside Health IncGroup PAC ID 9234525098, 213 clinicians

Practice addresses (Care Compare)

1430 Gadsden Hwy
Suite 116 917
Birmingham, AL 35235-3103
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C2286AALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
I C.a.R.E. Wellness Services, LLC Current Accepting new patients
I C.a.R.E. Wellness Services LLC Current Accepting new patients
Brightside Health, Inc. CurrentSince Feb 9, 2024 Accepting new patients

Locations

1430 Gadsden Hwy
Ste 116917
Birmingham, AL 35235
Phone (208) 623-9050

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1215308499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5413 COURT H",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352083016",
            "telephone_number": "205-923-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5413 COURT H",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352083016",
            "telephone_number": "205-923-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GRIENA",
        "middle_name": "HERMAINE KNIGHT",
        "name_prefix": "Dr.",
        "credential": "ED.D., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "C2286A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.