Active NPI
Vanessa Davis, LPC
- Professional Counselor
- Gainesville, FL
National Provider Identifier
1427414788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3526
- Practice address
- 605 NE 1St St
Gainesville, FL 32601-3339 - Phone
- (352) 334-0955
- NPI assigned
- Jan 2, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3526 | TN | Primary |
Addresses
Primary practice location
605 NE 1St St
Gainesville, FL 32601-3339
Mailing address
1485 S Semoran Blvd Ste 1448
Winter Park, FL 32792-5508
Phone (321) 397-3000
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3526 | TN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Home Society | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Orlando, FL
- NPI 1083794630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451692800000",
"number": "1427414788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1485 S SEMORAN BLVD STE 1448",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327925508",
"telephone_number": "321-397-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 NE 1ST ST",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326013339",
"telephone_number": "352-334-0955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "VANESSA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-02",
"last_updated": "2016-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "3526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.