Individual provider Active NPI

Rebecca C Davenport, LCSW

  • Mental Health Counselor
  • Austin, TX
National Provider Identifier
1235149519
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
28320 Issued in TX
Practice address
1717 W 6TH St Ste 234
Austin, TX 78703-4776
Phone
(512) 801-8353
Fax
(512) 494-0788
NPI assigned
Aug 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 28320 TX Primary

Addresses

Primary practice location

1717 W 6TH St Ste 234
Austin, TX 78703-4776

Mailing address

813 Ledgerock Rd
Wimberley, TX 78676-4211
Phone (512) 801-8353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 14, 2020 through Jan 14, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
28320TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Becca Aronow LPC, PA Mental Health Past Accepting new patients
Transitions Neuropsychology of Austin Past Accepting new patients

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, 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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235149519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 LEDGEROCK RD",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786764211",
            "telephone_number": "512-801-8353",
            "fax_number": "512-494-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W 6TH ST STE 234",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787034776",
            "telephone_number": "512-801-8353",
            "fax_number": "512-494-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "REBECCA",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "28320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.