Individual provider Active NPI

Srlestine T Davis, M.ED.,LPC,CSC,CI

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1417211269
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
65349 Issued in TX
Practice address
12401 S Post Oak Rd
Houston, TX 77045-2020
Phone
(713) 551-8655
NPI assigned
Jun 26, 2012
Last updated
Dec 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X GRADES EC-12 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 6979 TX
Professional Counselor 101YP2500X 65349 TX Primary

Addresses

Primary practice location

12401 S Post Oak Rd
Houston, TX 77045-2020

Mailing address

12401 S Post Oak Rd
Houston, TX 77045-2020
Phone (713) 551-8655

Other names 1

  • Mrs. Lestine T Davis Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
GRADES EC-12TXMDSchool Counselor
6979TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1417211269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 S POST OAK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770452020",
            "telephone_number": "713-551-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 S POST OAK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770452020",
            "telephone_number": "713-551-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SRLESTINE",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "M.ED.,LPC,CSC,CI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "GRADES EC-12",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "6979",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESTINE",
            "last_name": "DAVIS",
            "middle_name": "T",
            "prefix": "MRS.",
            "credential": "M.ED.,LPC,CSC,LCDC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.