Active NPI
Hannah Edith Davis, PH.D, LPC
- Professional Counselor
- Commerce City, CO
National Provider Identifier
1356659908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 12409
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12409 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forge Counseling Collective LLC | Professional | Current | Accepting new patients |
| Forge Counseling Collective | Professional | Past | 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.
-
- Professional Counselor
- Commerce City, CO
- NPI 1619623766
-
- Professional Counselor
- Commerce City, CO
- NPI 1033805908
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.