Amy Davis

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39002506A Issued in IN

Practice address

5010 N Stone Mill Rd Ste B
Bloomington, IN 47408-9320

Phone

(812) 929-2193

NPI assigned

Mar 19, 2016

Last updated

Mar 19, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Outlook Counseling Center Inc

  • Community/Behavioral Health Agency
  • Bloomington, IN
  • NPI 1033527619
  NPD (past)
• New Outlook Counseling Center Inc

  • Community/Behavioral Health Agency
  • Bloomington, IN
  • NPI 1891099073
  NPD (past)

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

{
    "created_epoch": "1458345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458345600000",
    "number": "1427419332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3347 S OAKLAWN CIR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474018546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 N STONE MILL RD STE B",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474089320",
            "telephone_number": "812-929-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-19",
        "last_updated": "2016-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002506A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daviess County Hospital (Aperion Care Monroe)
• Daviess County Hospital (Hearthstone Health Campus)
• Daviess County Hospital (Stonecroft Health Campus)
• Allison Marie Davis, OD
• Amiyah Davis
• Carrie Lynn Davis, M.D.
• Daniel J Davis, MA
• Timothy Leland Davis, PH.D.
• Leslie Dawley - Couch, LPN
• Justin D Dawson, RBT

• Mental Health Counselor in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.

Verify at the official NPI Registry.