Active NPI
Nikki Renee Davidson, LMHCA
- Mental Health Counselor
- Terre Haute, IN
National Provider Identifier
1326749474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3313 S 7TH St
Terre Haute, IN 47802-4014 - Phone
- (812) 243-9954
- NPI assigned
- Mar 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IN | Primary |
Addresses
Primary practice location
3313 S 7TH St
Terre Haute, IN 47802-4014
Mailing address
3313 S 7TH St
Terre Haute, IN 47802-4014
Phone (812) 243-9954
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forever Smiling Professional Therapy | Current | Accepting new patients | |
| Counseling Pathways LLC | Mental Health | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Martinsville, IL
- NPI 1477443448
-
- Mental Health Counselor
- Terre Haute, IN
- NPI 1154044667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678838400000",
"number": "1326749474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3313 S 7TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478024014",
"telephone_number": "812-243-9954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3313 S 7TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478024014",
"telephone_number": "812-243-9954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "NIKKI",
"middle_name": "RENEE",
"credential": "LMHCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-15",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.