Individual provider Active NPI

Davena Elayne Lewis, LMFT

  • Marriage & Family Therapist
  • Danville, IN
National Provider Identifier
1306375225
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35002122A Issued in IN
Practice address
202 Myers Rd
Danville, IN 46122-9702
Phone
(317) 718-8436
NPI assigned
Jun 5, 2017
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 35002122A IN Primary

Addresses

Primary practice location

202 Myers Rd
Danville, IN 46122-9702

Mailing address

202 Myers Rd
Danville, IN 46122-9702
Phone (317) 718-8436

Other practice location 1

5479 Deer Creek Ave
Indianapolis, IN 46254-3776
Phone (317) 643-1919

Other practice location 2

429 E Vermont St
Indianapolis, IN 46202-3690
Phone (317) 718-8436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: No
  • 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
I20240123003438 IN Practitioner - Marriage and Family Therapist 8729430954 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35002122AINMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hendricks County Psychotherapy PSC CurrentSince Jan 1, 2024 Accepting new patients

Locations

202 Myers Rd
Danville, IN 46122
Phone (317) 718-8436

429 E Vermont St
Ste 306
Indianapolis, IN 46202
Phone (317) 338-4800

6291 Cambridge Way
Ste 200
Plainfield, IN 46168
Phone (317) 718-8436

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": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1306375225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 MYERS RD",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461229702",
            "telephone_number": "317-718-8436",
            "fax_number": "317-718-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 MYERS RD",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461229702",
            "telephone_number": "317-718-8436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5479 Deer Creek Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462543776",
            "country_code": "US",
            "telephone_number": "317-643-1919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "429 E Vermont St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462023690",
            "country_code": "US",
            "telephone_number": "317-718-8436",
            "fax_number": "317-718-8438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DAVENA",
        "middle_name": "ELAYNE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35002122A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IN

Sources for this page

Verify at the official NPI Registry.