Individual provider Active NPI

Yancy Denise Davis, D. MIN, CRAADC, LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Raleigh, NC
National Provider Identifier
1215820055
Registry record updated Sep 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCAS-32066 Issued in NC
Practice address
8601 Six Forks Rd Ste 400
Raleigh, NC 27615-2965
Phone
(816) 200-1090
NPI assigned
May 30, 2025
Last updated
Sep 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NC
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-32066 NC Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 19955 MO
Pastoral Counselor 101YP1600X NC
Pastoral Counselor 101YP1600X MO

Addresses

Primary practice location

8601 Six Forks Rd Ste 400
Raleigh, NC 27615-2965

Mailing address

3725 Flora Ave
Kansas City, MO 64109-2709
Phone (816) 200-1090

Other practice location 1

3725 Flora Ave
Kansas City, MO 64109-2709
Phone (816) 200-1090

Other practice location 2

4030 Wake Forest Rd Ste 349
Raleigh, NC 27609-0010
Phone (816) 200-1090

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

Practice roles

OrganizationSpecialtyStatusNew patients
Isi Ministries Addiction (Substance Use Disorder) CurrentSince Jun 3, 2025 Accepting new patients

Organizations & group practices 1

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": "1748563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790467200000",
    "number": "1215820055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 FLORA AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641092709",
            "telephone_number": "816-200-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 SIX FORKS RD STE 400",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152965",
            "telephone_number": "816-200-1090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3725 Flora Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641092709",
            "country_code": "US",
            "telephone_number": "816-200-1090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4030 Wake Forest Rd Ste 349",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276090010",
            "country_code": "US",
            "telephone_number": "816-200-1090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "YANCY",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "D. MIN, CRAADC, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-30",
        "last_updated": "2026-09-27",
        "certification_date": "2026-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-32066",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MO",
            "license": "19955",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "MO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2026; 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.