Active NPI
Kewana Davis
- Professional Counselor
- Houston, TX
National Provider Identifier
1235539628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 71070
- Practice address
- 2121 Sage Rd Ste 378
Houston, TX 77056-4308 - Phone
- (281) 447-1922
- Fax
- (844) 272-6567
- NPI assigned
- Sep 4, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 71070 | TX | Primary |
Addresses
Primary practice location
2121 Sage Rd Ste 378
Houston, TX 77056-4308
Mailing address
6618 Brightonfern LN
Houston, TX 77049-1565
Phone (832) 661-4017
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 345020701 | Medicaid | TX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71070 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746489600000",
"number": "1235539628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6618 BRIGHTONFERN LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770491565",
"telephone_number": "832-661-4017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 SAGE RD STE 378",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770564308",
"telephone_number": "281-447-1922",
"fax_number": "844-272-6567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KEWANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-04",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "71070",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "345020701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.