Jessica Davis, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401017944 Issued in MI

Practice address

2350 Washtenaw Ave Ste 4
Ann Arbor, MI 48104-4525

Phone

(734) 645-8944

NPI assigned

Jun 19, 2019

Sex

Female

Sole proprietor

Yes

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 and National Provider Directory roles.

• Identity Counseling Psychology PLLC

  • Counseling Psychologist
  • Ann Arbor, MI
  • NPI 1346738770
  NPD (past)

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1427618651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 WASHTENAW AVE STE 4",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044525",
            "telephone_number": "734-645-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 WASHTENAW AVE STE 4",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044525",
            "telephone_number": "734-645-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JESSICA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401017944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Julianna Davis, PHARM.D.
• Eric Thomas Davis, MD
• Frank Davis, MD
• Genevieve Claire Davis, DO
• Grace Davis
• John Davis
• John-Paul Davis, MD
• Jordyn Rose Davis, PA-C
• Kathleen Kay Davis, PT
• Kristin Davis, CCC-SLP

• Mental Health Counselor in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.