Individual provider Active NPI

Becky R Davenport, PH.D., LMFT

  • Marriage & Family Therapist
  • San Antonio, TX
National Provider Identifier
1285867879
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT201192 Issued in TX
Practice address
21015 Market Ridge
San Antonio, TX 78258-4975
Phone
(210) 496-0100
Fax
(210) 496-0101
NPI assigned
Aug 28, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT201192 TX Primary
Marriage & Family Therapist 106H00000X 201192 TX

Addresses

Primary practice location

21015 Market Ridge
San Antonio, TX 78258-4975

Mailing address

21015 Market Ridge
San Antonio, TX 78258-4975
Phone (210) 496-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
201192TXMDMarriage & Family Therapist
LMFT201192TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Teo Therapy Services CurrentSince Oct 30, 2022 Accepting new patients
Melissa McVicker PHD LMFT PLLC Marriage & Family Therapist CurrentSince Oct 9, 2022 Accepting new patients

Locations

21015 Market Rdg
San Antonio, TX 78258
Phone (210) 496-0100

Organizations & group practices 2

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": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1285867879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21015 MARKET RIDGE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584975",
            "telephone_number": "210-496-0100",
            "fax_number": "210-496-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21015 MARKET RIDGE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584975",
            "telephone_number": "210-496-0100",
            "fax_number": "210-496-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "BECKY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH.D., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-28",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "LMFT201192",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201192",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.