Organization Active NPI

Jeanie Davis LSW Inc

  • Mental Health Counselor
  • Edmond, OK
National Provider Identifier
1265617344
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1379 Issued in OK
Legal business name
JEANIE DAVIS LSW INC
Practice address
1616 S State St
Edmond, OK 73013-3600
Phone
(405) 844-7888
Fax
(405) 844-8881
NPI assigned
Jan 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Authorized official

Name
Ms. Jeanie M Davis, LCSW
Title
President Sole Employee
Phone
(405) 844-7888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 1379 OK Primary

Addresses

Primary practice location

1616 S State St
Edmond, OK 73013-3600

Mailing address

1616 S State St
Edmond, OK 73013-3600
Phone (405) 844-7888

National Provider Directory

National Provider Directory

Locations

3535 NW 58th St
Ste 810
Oklahoma City, OK 73112
Phone (405) 917-5677

1601 SW 89th St
Ste F200
Oklahoma City, OK 73159
Phone (405) 681-2273

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1265617344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 S STATE ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133600",
            "telephone_number": "405-844-7888",
            "fax_number": "405-844-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 S STATE ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133600",
            "telephone_number": "405-844-7888",
            "fax_number": "405-844-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANIE DAVIS LSW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JEANIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT SOLE EMPLOYEE",
        "authorized_official_telephone_number": "405-844-7888",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "1379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.