Individual provider Active NPI

Teresa Davis, AS, BA, CADC II

  • Counselor
  • Cartersville, GA
National Provider Identifier
1285368217
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0649 Issued in GA
Practice address
68 Arnold Rd NW
Cartersville, GA 30120-4816
Phone
(678) 986-9568
NPI assigned
Jul 14, 2022
Last updated
Jul 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 0649 GA Primary

Addresses

Primary practice location

68 Arnold Rd NW
Cartersville, GA 30120-4816

Mailing address

68 Arnold Rd NW
Cartersville, GA 30120-4816
Phone (678) 986-9568

Other practice location 1

1010 N Tennessee St Ste 212
Cartersville, GA 30120-8528
Phone (800) 683-8313

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Laptop Direct Recover Together, Inc.

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
Credentials
Associate of Science, Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
0649GAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Groups Recover Together - Georgia LLC PastSince Jan 22, 2023 Accepting new patients

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, 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": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1285368217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 ARNOLD RD NW",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301204816",
            "telephone_number": "678-986-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 ARNOLD RD NW",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301204816",
            "telephone_number": "678-986-9568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 N Tennessee St Ste 212",
            "address_purpose": "LOCATION",
            "city": "Cartersville",
            "state": "GA",
            "postal_code": "301208528",
            "country_code": "US",
            "telephone_number": "800-683-8313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TERESA",
        "credential": "AS, BA, CADC II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "GA",
            "license": "0649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "Y",
            "endpointDescription": "Laptop desktop",
            "affiliationName": "Recover Together, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1010 N Tennessee St Ste 212",
            "city": "Cartersville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301208528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.