Active NPI
Kenya Davis, A&D COUNSELOR, TRAIN
- Addiction (Substance Use Disorder) Counselor
- Bel Air, MD
National Provider Identifier
1467587766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- TRAINEE STATUS
- Practice address
- 39 E Churchville Rd
Suite 200
Bel Air, MD 21014-3800 - Phone
- (410) 420-6572
- NPI assigned
- Feb 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | TRAINEE STATUS | MD | Primary |
Addresses
Primary practice location
39 E Churchville Rd
Suite 200
Bel Air, MD 21014-3800
Mailing address
1107 Tace Dr
Apt. 2B
Essex, MD 21221-5723
Phone (443) 854-3447
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRAINEE STATUS | MD | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467587766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 TACE DR",
"address_2": "APT. 2B",
"city": "ESSEX",
"state": "MD",
"postal_code": "212215723",
"telephone_number": "443-854-3447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 E CHURCHVILLE RD",
"address_2": "SUITE 200",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210143800",
"telephone_number": "410-420-6572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KENYA",
"name_prefix": "Ms.",
"credential": "A&D COUNSELOR, TRAIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MD",
"license": "TRAINEE STATUS",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.