Individual provider Active NPI

Davina Ruth Capik, NCC

  • Counselor
  • Gettysburg, PA
National Provider Identifier
1346800547
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
240214 Issued in PA
Practice address
2311 Fairfield Rd Ste F
Gettysburg, PA 17325-6310
Phone
(570) 640-5448
Fax
(855) 997-7199
NPI assigned
Jun 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 240214 PA Primary

Addresses

Primary practice location

2311 Fairfield Rd Ste F
Gettysburg, PA 17325-6310

Mailing address

2311 Fairfield Rd Ste F
Gettysburg, PA 17325-6310
Phone (570) 640-5448

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

State licenses

LicenseStateTypeSpecialty
240214PAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Counseling Services, LLC PastSince Oct 2, 2018 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1346800547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 FAIRFIELD RD STE F",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173256310",
            "telephone_number": "570-640-5448",
            "fax_number": "855-887-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 FAIRFIELD RD STE F",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173256310",
            "telephone_number": "570-640-5448",
            "fax_number": "855-997-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPIK",
        "first_name": "DAVINA",
        "middle_name": "RUTH",
        "credential": "NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "240214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.