Individual provider Active NPI

Allison J Davis, MA

  • Professional Counselor
  • El Paso, TX
National Provider Identifier
1366629115
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
61616 Issued in TX
Practice address
5764 N Mesa St
El Paso, TX 79912-5427
Phone
(915) 204-4089
Fax
(877) 606-9254
NPI assigned
Jan 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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 61616 TX Primary

Addresses

Primary practice location

5764 N Mesa St
El Paso, TX 79912-5427

Mailing address

5764 N Mesa St
El Paso, TX 79912-5427
Phone (915) 204-4089

Other identifiers 1

IdentifierTypeStateIssuer
190323902MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240313001555 TX Practitioner - Mental Health Counselor 6103262118 Practice locations: El Paso, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

230 Thunderbird Dr
Suite J
El Paso, TX 79912-3913
Phone 91558451052

230 Thunderbird Dr J
El Paso, TX 79912-3913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
61616TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sara Bilbao Counseling PLLC Professional Past 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": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381449600000",
    "number": "1366629115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5764 N MESA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125427",
            "telephone_number": "915-204-4089",
            "fax_number": "877-606-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5764 N MESA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125427",
            "telephone_number": "915-204-4089",
            "fax_number": "877-606-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ALLISON",
        "middle_name": "J",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2013-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "61616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190323902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.