Individual provider Active NPI

Gwendolyn M Davis, LCMHC

  • Professional Counselor
  • Concord, NC
National Provider Identifier
1427746445
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
2702 S Main St
Concord, NC 28027-4192
Phone
(704) 918-5131
NPI assigned
Apr 27, 2023
Last updated
May 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

2702 S Main St
Concord, NC 28027-4192

Mailing address

2702 S Main St
Concord, NC 28027-4192
Phone (704) 918-5131

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ascendant Behavioral Health LLC CurrentSince Apr 30, 2023 Accepting new patients
Agape Counseling & Consulting Group PLLC Past Accepting new patients

Locations

3051 W Maple Loop Dr
Ste 210
Lehi, UT 84048
Phone (801) 502-3913

5965 S 900 E
Ste 100
Murray, UT 84121
Phone (801) 639-9146

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1427746445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 S MAIN ST",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280274192",
            "telephone_number": "704-918-5131",
            "fax_number": "801-212-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 S MAIN ST",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280274192",
            "telephone_number": "704-918-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GWENDOLYN",
        "middle_name": "M",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.