Kim E Davenport, LMHC, LCAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39003404A Issued in IN

Practice address

470 Vernon PL
Westfield, IN 46074-8108

Phone

(317) 506-5466

NPI assigned

Dec 29, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1457011595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 VERNON PL",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748108",
            "telephone_number": "317-506-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 VERNON PL",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748108",
            "telephone_number": "317-506-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "KIM",
        "middle_name": "E",
        "credential": "LMHC, LCAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87001263A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003404A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra K Cunningham, D.C.
• Mariah Dabney
• Daniella Dadon
• Darla S Dalton, D.C.
• Marci Lynn Daugherty, PHARMD, CGP
• Debra Darlene Davis, MD
• Leslie Elaine Davis
• Rachel Davis
• Raheem Davis, RBT
• Marvelous Grace Dayo

• Mental Health Counselor in Westfield, IN
• Providers in Westfield, 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 Dec 29, 2021; 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.