Justin Davis

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC5961 Issued in LA

Practice address

458 Herndon St
Shreveport, LA 71101-4859

Phone

(318) 429-6938

NPI assigned

Nov 24, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Volunteers of America of North Louisiana

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shreveport, LA
  • NPI 1417252230
  NPD

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1346614658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 HERNDON ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014859",
            "telephone_number": "318-429-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 HERNDON ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014859",
            "telephone_number": "318-429-6938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5902 Buncombe Rd",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711294004",
            "country_code": "US",
            "telephone_number": "318-658-2332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "856 Texas Ave",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "71101",
            "country_code": "US",
            "telephone_number": "318-429-6938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-24",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "LPC5961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "justin.davis@voanortha.org",
            "affiliation": "N",
            "endpointDescription": "agency email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "458 Herndon St",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711014859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jasmine Davis
• Jeremy P Davis, ACNP-BC
• Jerry Eldon Davis, MD
• Jonathan Michael Davis, MD
• Joseph Clinton Davis
• Jutorrean Davis
• Kiauwanna Davis
• Kimiko Davis, RN
• Kurvis Antione Davis
• Lakimberly Davis, LPN

• Mental Health Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.