Mattie B Davis, BA, MA, DD, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701004335 Issued in VA

Practice address

301 Maycox Ave
Norfolk, VA 23505-3420

Phone

(757) 386-8578

Fax

(757) 277-0181

NPI assigned

Jan 21, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Mattie Brown Davis Professional name

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Arts, Master of Arts

Practice roles

Locations

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.

• Grace Counseling Centers

  • Professional Counselor
  • Norfolk, VA
  • NPI 1215293402
  Medicare reassignment NPD Authorized official
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  Professional, VA

  Medicare reassignment NPD
• Rhodium Care Group Inc

  • Psychologist
  • Lakewood, NJ
  • NPI 1235853698

  VA

  Medicare reassignment NPD

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1376781849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MAYCOX AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235053420",
            "telephone_number": "757-386-8578",
            "fax_number": "757-277-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MAYCOX AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235053420",
            "telephone_number": "757-386-8578",
            "fax_number": "757-277-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MATTIE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "BA, MA, DD, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-21",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATTIE",
            "last_name": "DAVIS",
            "middle_name": "BROWN",
            "prefix": "DR.",
            "credential": "BA, MA, DD, LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jason Paul Davis, IDC
• Karen Michelle Davis, D.O.
• Krystal Davis
• Lucia Davis, LMSW
• Marsha Lavaulle Davis, M.D.
• Melissa Marie Davis, MSN, FNP-BC
• Myra Medeiros Davis, MA, CCC-SLP
• Sherri Jackson Davis
• Stephen Scott Davis, M.D.
• Travis W Davis, D.C.

• Professional Counselor in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.