John Davis III, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMSW-35378 Issued in ID

Practice address

1720 N Westgate Dr Ste a-1
Boise, ID 83704-7164

Phone

(208) 334-0874

Fax

(208) 334-0812

NPI assigned

Mar 14, 2019

Last updated

Mar 14, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1407315013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 N WESTGATE DR STE A-1",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837047164",
            "telephone_number": "208-334-0874",
            "fax_number": "208-334-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 N WESTGATE DR STE A-1",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837047164",
            "telephone_number": "208-334-0874",
            "fax_number": "208-334-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LMSW-35378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hallie Davis
• Jaimee K Davis, FNP
• Jeffrey K Davis, DDS
• Jenika Davis, LPC
• Jenni S Davis, OTR/L
• Judy Davis, RN
• Katelyn Davis
• Keily Ann Davis, BC-HIS
• Krista Davis, LMSW
• Kristi Davis

• Mental Health Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.