Individual provider Active NPI

Sarah Ann Davis, ATR-BC

  • Professional Counselor
  • Philadelphia, PA
National Provider Identifier
1407503907
Registry record updated Mar 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC018355 Issued in PA
Practice address
4232 Parkside Ave
Philadelphia, PA 19104-1021
Phone
(585) 820-5251
NPI assigned
Mar 4, 2022
Last updated
Mar 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 24-629
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 390200000X
Professional Counselor 101YP2500X PC018355 PA Primary

Addresses

Primary practice location

4232 Parkside Ave
Philadelphia, PA 19104-1021

Mailing address

4150 Parkside Ave Apt 303
Philadelphia, PA 19104-7302
Phone (267) 702-3221

Other practice location 1

842 Durham Rd Ste 200
Newtown, PA 18940-9683
Phone (267) 702-3221

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
PC018355PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742688000000",
    "number": "1407503907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 PARKSIDE AVE APT 303",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191047302",
            "telephone_number": "267-702-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4232 PARKSIDE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191041021",
            "telephone_number": "585-820-5251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "842 Durham Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Newtown",
            "state": "PA",
            "postal_code": "189409683",
            "country_code": "US",
            "telephone_number": "267-702-3221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "credential": "ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-04",
        "last_updated": "2025-03-23",
        "certification_date": "2025-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": "24-629",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC018355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2025; 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.