Individual provider Active NPI

Elke Davenport, TLMHC

  • Mental Health Counselor
  • Marshalltown, IA
National Provider Identifier
1386402964
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
123331 Issued in IA
Practice address
3809 S Center St
Marshalltown, IA 50158-4756
Phone
(641) 752-1585
Fax
(641) 752-9665
NPI assigned
Mar 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 123331 IA Primary

Addresses

Primary practice location

3809 S Center St
Marshalltown, IA 50158-4756

Mailing address

3809 S Center St
Marshalltown, IA 50158-4756
Phone (641) 752-1585

Other practice location 1

1309 S Broadway St
Toledo, IA 52342-2307
Phone (641) 752-1585

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

LicenseStateTypeSpecialty
123331IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center Associates CurrentSince Mar 12, 2024 Accepting new patients

Locations

3809 S Center St
Marshalltown, IA 50158
Phone (641) 752-1585

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": "1709856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1386402964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 S CENTER ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584756",
            "telephone_number": "641-752-1585",
            "fax_number": "641-752-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 S CENTER ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584756",
            "telephone_number": "641-752-1585",
            "fax_number": "641-752-9665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1309 S Broadway St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "IA",
            "postal_code": "523422307",
            "country_code": "US",
            "telephone_number": "641-752-1585",
            "fax_number": "641-752-9665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "ELKE",
        "credential": "TLMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "123331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshalltown, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.