Kristie None Davis, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4267 Issued in SC

Practice address

123 Dorothy Dr
Charleston, SC 29414-9198

Phone

(843) 793-8324

Fax

(843) 871-8579

NPI assigned

Oct 26, 2010

Last updated

Jun 10, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Kristie None Davis Other name

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": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1427358308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 DOROTHY DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294149198",
            "telephone_number": "843-793-8324",
            "fax_number": "843-871-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 DOROTHY DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294149198",
            "telephone_number": "843-793-8324",
            "fax_number": "843-871-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KRISTIE",
        "middle_name": "NONE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-26",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "4267",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SC",
            "license": "4267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AD16DO",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIE",
            "last_name": "DAVIS",
            "middle_name": "NONE",
            "prefix": "MS.",
            "credential": "LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Katie Lynn Evitts Davis, COTA/L
• Kermit Tyrone Davis Jr.
• Kimberly Marable Davis, LPC,LCMHC
• Kimberly S Davis, MD
• Kortni Michelle Davis, PA-C
• Lauren Bullwinkel Davis, D.M.D.
• Lundy Davis, PA-C
• Mary Grace Davis
• Natasha Davis, LISW-CP
• Piper Davis

• Marriage & Family Therapist in Charleston, SC
• Providers in Charleston, SC by specialty
• Marriage & Family Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.