Andrea Davis, LMHC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LH 60123210 Issued in WA

Practice address

600 Oakesdale Ave SW
104
Renton, WA 98057-5226

Phone

(425) 228-5336

Fax

(425) 228-4540

NPI assigned

Jan 4, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Mental Health Counselor

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Puget Sound Psychotherapy, PSGroup PAC ID 6901332691, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Puget Sound Psychotherapy, PS

  • Mental Health Counselor
  • Seattle, WA
  • NPI 1912310103
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1225308455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAKESDALE AVE SW",
            "address_2": "104",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575226",
            "telephone_number": "425-228-5336",
            "fax_number": "425-228-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 OAKESDALE AVE SW",
            "address_2": "104",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575226",
            "telephone_number": "425-228-5336",
            "fax_number": "425-228-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANDREA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "LH 60123210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David P Ruoff, MD, Inc, PS.
• Naomi Michelle Davidson, D.O.
• Evelyn E.M.O Davies-Venn, MS., AUD
• Kylee Davies
• Amelia Davis
• Ashley Nicole Davis, NP-C
• Brian G Davis
• Bryan Andrew Davis, PHARMD
• Calvin Eugene Davis, DPM
• Charles J Davis, PA-C

• Counselor in Renton, WA
• Providers in Renton, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.