Individual provider Active NPI

Cyrus Davani, LCPC

  • Mental Health Counselor
  • Gaithersburg, MD
National Provider Identifier
1275198244
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC9328 Issued in MD
Practice address
10810 Darnestown Rd
Ste 205
Gaithersburg, MD 20878
Phone
(301) 714-8120
Fax
(240) 623-8120
NPI assigned
May 6, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 9328 MD
Mental Health Counselor 101YM0800X LC9328 MD Primary

Addresses

Primary practice location

10810 Darnestown Rd
Ste 205
Gaithersburg, MD 20878

Mailing address

10810 Darnestown Rd
Ste 205
Gaithersburg, MD 20878
Phone (301) 714-8120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20250828001218 MN Practitioner - Mental Health Counselor 5991206310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1370 Mendota Heights Rd
Mendota Heights, MN 55120-1128

13890 McKenna Rd NW
Prior Lake, MN 55379-7537

1900 Silver Lake NWRD
Suite 110
New Brighton, MN 55112-1789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC9328MDMDMental Health Counselor
9328MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nystrom & Associates, LTD CurrentSince Apr 13, 2026 Accepting new patients

Locations

1370 Mendota Heights Rd
Mendota Heights, MN 55120
Phone (651) 583-4447

819 30th Ave S
Ste 208
Moorhead, MN 56560
Phone (218) 833-9107

1150 Montreal Ave
Ste 107
Saint Paul, MN 55116
Phone (651) 303-8080

4570 Churchill St
Ste 300
Shoreview, MN 55126
Phone (651) 451-1071

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": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1275198244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 DARNESTOWN RD",
            "address_2": "STE 205",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "20878",
            "telephone_number": "301-714-8120",
            "fax_number": "240-623-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 DARNESTOWN RD",
            "address_2": "STE 205",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "20878",
            "telephone_number": "301-714-8120",
            "fax_number": "240-623-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVANI",
        "first_name": "CYRUS",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-06",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "9328",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC9328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.