Individual provider Active NPI

Noelle Davis, BA

  • Mental Health Counselor
  • Lakewood, CO
National Provider Identifier
1225706765
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
550 S Wadsworth Blvd Unit 590
Lakewood, CO 80226-3161
Phone
(303) 954-4052
Fax
(303) 954-4052
NPI assigned
Aug 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CO Primary

Addresses

Primary practice location

550 S Wadsworth Blvd Unit 590
Lakewood, CO 80226-3161

Mailing address

12954 W Iliff Ave
Lakewood, CO 80228-4336
Phone (303) 954-4052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20250619001233 CO Practitioner - Mental Health Counselor 7719498369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12954 W Iliff Ave
Lakewood, CO 80228-4336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Psychotherapy and Care Management on the Go, LLC CurrentSince Mar 11, 2025 Accepting new patients
Dominion Outpatient Services, LLC PastSince Dec 1, 2023 Accepting new patients

Locations

1490 N Lafayette St
Ste 108
Denver, CO 80218
Phone (303) 204-6635

550 S Wadsworth Blvd
Unit 590
Lakewood, CO 80226
Phone (303) 954-4052

Organizations & group practices 2

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": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1225706765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12954 W ILIFF AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802284336",
            "telephone_number": "303-954-4052",
            "fax_number": "303-954-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S WADSWORTH BLVD UNIT 590",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263161",
            "telephone_number": "303-954-4052",
            "fax_number": "303-954-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NOELLE",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.