Active NPI
Deborah Ann Davis, LPC-IT
- Counselor
- Milwaukee, WI
National Provider Identifier
1396214532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 3158-226
- Practice address
- 130 W Bruce St Ste 200
Milwaukee, WI 53204-1667 - Phone
- (414) 305-9505
- NPI assigned
- Nov 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 3158-226 | WI | Primary |
Addresses
Primary practice location
130 W Bruce St Ste 200
Milwaukee, WI 53204-1667
Mailing address
130 W Bruce St Ste 200
Milwaukee, WI 53204-1667
Phone (414) 305-9505
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 |
|---|---|---|---|
| 3158-226 | WI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542326400000",
"number": "1396214532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 W BRUCE ST STE 200",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532041667",
"telephone_number": "414-305-9505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 W BRUCE ST STE 200",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532041667",
"telephone_number": "414-305-9505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DEBORAH",
"middle_name": "ANN",
"credential": "LPC-IT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-16",
"last_updated": "2018-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WI",
"license": "3158-226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.