Individual provider Active NPI

Hannah Edith Davis, PH.D, LPC

  • Professional Counselor
  • Commerce City, CO
National Provider Identifier
1356659908
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
12409 Issued in CO
Practice address
13635 E 104TH Ave Unit 800
Commerce City, CO 80022-8420
Phone
(720) 432-7690
Fax
(719) 212-1473
NPI assigned
Sep 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 12409 CO Primary

Addresses

Primary practice location

13635 E 104TH Ave Unit 800
Commerce City, CO 80022-8420

Mailing address

13635 E 104TH Ave Unit 800
Commerce City, CO 80022-8420
Phone (720) 432-7690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • 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
I20260211000786 CO Practitioner - Mental Health Counselor 7517446420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13659 E 104TH Ave
Unit 800
Commerce City, CO 80022-9406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
12409COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Forge Counseling Collective LLC Professional CurrentSince Aug 1, 2025 Accepting new patients
Forge Counseling Collective Professional PastSince Apr 1, 2023 Accepting new patients

Locations

315 N Weber St
Colorado Springs, CO 80903
Phone (630) 204-2533

13659 E 104th Ave
Unit 800
Commerce City, CO 80022
Phone (720) 306-1074

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.

NPI Registry JSON

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1356659908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13635 E 104TH AVE UNIT 800",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800228420",
            "telephone_number": "720-432-7690",
            "fax_number": "720-247-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13635 E 104TH AVE UNIT 800",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800228420",
            "telephone_number": "720-432-7690",
            "fax_number": "719-212-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "HANNAH",
        "middle_name": "EDITH",
        "name_prefix": "Dr.",
        "credential": "PH.D, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-16",
        "last_updated": "2022-02-10",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "12409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce City, CO

Sources for this page

Verify at the official NPI Registry.