Active NPI
Kirby Janae Davis, LMHP
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1366920209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5514
- Practice address
- 9802 Nicholas St Ste 350
Omaha, NE 68114-2106 - Phone
- (402) 932-2296
- Fax
- (402) 281-0665
- NPI assigned
- Aug 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 11435 | NE | |
| Mental Health Counselor | 101YM0800X | 5514 | NE | Primary |
Addresses
Primary practice location
9802 Nicholas St Ste 350
Omaha, NE 68114-2106
Mailing address
9802 Nicholas St Ste 350
Omaha, NE 68114-2106
Phone (402) 932-2296
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11435 | NE | MD | Mental Health Counselor |
| 5514 | NE | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1366920209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9802 NICHOLAS ST STE 350",
"city": "OMAHA",
"state": "NE",
"postal_code": "681142106",
"telephone_number": "402-932-2296",
"fax_number": "402-281-0665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9802 NICHOLAS ST STE 350",
"city": "OMAHA",
"state": "NE",
"postal_code": "681142106",
"telephone_number": "402-932-2296",
"fax_number": "402-281-0665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KIRBY",
"middle_name": "JANAE",
"name_prefix": "Mrs.",
"credential": "LMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-02",
"last_updated": "2022-08-22",
"certification_date": "2022-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "11435",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "5514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- 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.