Danielle N Daviscourt, AMFT, APCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

146952 Issued in CA

Practice address

673 S Auburn St
Grass Valley, CA 95945-7576

Phone

(530) 913-7221

NPI assigned

Oct 15, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1396565198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17995 LAKE FOREST DR",
            "city": "PENN VALLEY",
            "state": "CA",
            "postal_code": "959468822",
            "telephone_number": "209-401-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 S AUBURN ST",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457576",
            "telephone_number": "530-913-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVISCOURT",
        "first_name": "DANIELLE",
        "middle_name": "N",
        "credential": "AMFT, APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "16663",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "146952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian William Davis
• Mia Davis
• Wendy Lu Davis
• William H Davis, MD
• William Robert Davis, RADT
• Nicole Dalene Dawson
• Travis Day
• Christina De Cossio, MFT
• Jared Joseph De Flores
• Zachary Johne Dear

• Mental Health Counselor in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.