Amy M. Davis, L.C.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180005999 Issued in IL

Practice address

617 E Jefferson St
Morris, IL 60450-2310

Phone

(815) 941-0218

NPI assigned

May 9, 2011

Last updated

May 9, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1346532413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 E JEFFERSON ST",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604502310",
            "telephone_number": "815-941-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 E JEFFERSON ST",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604502310",
            "telephone_number": "815-941-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AMY",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "L.C.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-09",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180005999",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180005999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cesario Monsanto Cumba, M.D.
• Kathleen Anne Cutler, OTRL
• Danielle Ann Czajkowski, LCSW
• Amber Dawn Datti
• David G Vermillion M D P C
• Bryce James Davis, MS, ATC, CSCS, CHES
• Emmanuel Augustus Davis, PHARMD
• Mona C Daye, APN
• Alyssa Ann Dearth, MSN, APN, FNP-BC
• Deerpath Ambulatory Surgical Center, LLC

• Professional Counselor in Morris, IL
• Providers in Morris, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.