Active NPI
Yancy Denise Davis, D. MIN, CRAADC, LCAS
- Addiction (Substance Use Disorder) Counselor
- Raleigh, NC
National Provider Identifier
1215820055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCAS-32066
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Isi Ministries | Addiction (Substance Use Disorder) | Current | 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.
-
- Addiction (Substance Use Disorder) Counselor
- Kansas City, MO
- NPI 1982161212
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.