Individual provider Active NPI

Debbie W Davis, COUNSELOR

  • Case Manager/Care Coordinator
  • Harvey, LA
National Provider Identifier
1245846484
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2439 Manhattan Blvd Ste 402
Harvey, LA 70058-5469
Phone
(504) 304-4097
Fax
(504) 218-7962
NPI assigned
Sep 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

2439 Manhattan Blvd Ste 402
Harvey, LA 70058-5469

Mailing address

2439 Manhattan Blvd Ste 402
Harvey, LA 70058-5469
Phone (504) 304-4097

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

OrganizationSpecialtyStatusNew patients
Impact Behavior Health Services LLC. CurrentSince Dec 3, 2023 Accepting new patients

Locations

2439 Manhattan Blvd
Ste 402
Harvey, LA 70058
Phone (504) 304-4097

1406 Esplanade Ave
New Orleans, LA 70116
Phone (504) 304-4097

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1245846484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2439 MANHATTAN BLVD STE 402",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700585469",
            "telephone_number": "504-304-4097",
            "fax_number": "504-218-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2439 MANHATTAN BLVD STE 402",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700585469",
            "telephone_number": "504-304-4097",
            "fax_number": "504-218-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DEBBIE",
        "middle_name": "W",
        "credential": "COUNSELOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.