Active NPI
Srlestine T Davis, M.ED.,LPC,CSC,CI
- Professional Counselor
- Houston, TX
National Provider Identifier
1417211269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 65349
- Practice address
- 12401 S Post Oak Rd
Houston, TX 77045-2020 - Phone
- (713) 551-8655
- NPI assigned
- Jun 26, 2012
- Last updated
- Dec 9, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GRADES EC-12 | TX | MD | School Counselor |
| 6979 | TX | MD | Chiropractor |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.