Active NPI
Davida Robinson
- Mental Health Counselor
- Santa Monica, CA
National Provider Identifier
1447736905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 95973
- Practice address
- 1328 2ND St
Santa Monica, CA 90401-1122 - Phone
- (310) 394-6889
- NPI assigned
- Jul 17, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Mental Health Counselor | 101YM0800X | 95973 | CA | Primary |
Addresses
Primary practice location
1328 2ND St
Santa Monica, CA 90401-1122
Mailing address
1328 2ND St
Santa Monica, CA 90401-1122
Phone (310) 394-6889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95973 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1447736905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1328 2ND ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904011122",
"telephone_number": "310-394-6889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1328 2ND ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904011122",
"telephone_number": "310-394-6889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "DAVIDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-17",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "95973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.