Individual provider Active NPI

Overlande Joseph Davis, M.ED, LMHC

  • Mental Health Counselor
  • Cambridge, MA
National Provider Identifier
1477022796
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC13373 Issued in MA
Practice address
700 Massachusetts Ave FL 3
Cambridge, MA 02139-3345
Phone
(888) 500-2067
NPI assigned
Nov 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X CA
Mental Health Counselor 101YM0800X LMHC13373 MA Primary

Addresses

Primary practice location

700 Massachusetts Ave FL 3
Cambridge, MA 02139-3345

Mailing address

700 Massachusetts Ave FL 3
Cambridge, MA 02139-3345
Phone (888) 500-2067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260526002698 MA Practitioner - Mental Health Counselor 6204306798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

700 Massachusetts Ave
FL 3
Cambridge, MA 02139-3345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
LMHC13373MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cartwheel Health Services PC Mental Health Past Accepting new patients
Therapeutic Learning Consultants, Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1477022796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MASSACHUSETTS AVE FL 3",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393345",
            "telephone_number": "888-500-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MASSACHUSETTS AVE FL 3",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393345",
            "telephone_number": "888-500-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "OVERLANDE",
        "middle_name": "JOSEPH",
        "credential": "M.ED,  LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-15",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC13373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.