Kaley Davis, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A15206 Issued in NC

Practice address

905 McClellan PL
Greensboro, NC 27409-8930

Phone

(336) 370-9400

NPI assigned

Sep 23, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Abs Valley of Hope PRTF, LLC

  • Psychiatric Residential Treatment Facility
  • Greensboro, NC
  • NPI 1659147718
  NPD
• Alternative Behavioral Solutions,Inc.

  • Community/Behavioral Health Agency
  • Greensboro, NC
  • NPI 1528188919

  Mental Health

  NPD

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1477104339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 CAROWILL DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274553382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 MCCLELLAN PL",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274098930",
            "telephone_number": "336-370-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "247 W Kings Hwy",
            "address_purpose": "LOCATION",
            "city": "Eden",
            "state": "NC",
            "postal_code": "272885009",
            "country_code": "US",
            "telephone_number": "336-637-8329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KALEY",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Camenga Davis, CSAC
• Jaden Davis
• Jennaya Lynn Davis, AGNP-C
• Jessica Davis
• Jourdan C Davis
• Katlyn McKinney Davis, LPCA
• Kelly Meryl Davis, M.D.
• Kendra T Davis, LCAS
• Kenyatta Necole Davis
• Kristen L Davis, LCSW

• Mental Health Counselor in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.