Individual provider Active NPI

Kimberly Sienna Davis, LPC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1477194686
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
69696 Issued in TX
Practice address
12345 Jones Rd Ste 287-14
Houston, TX 77070-4960
Phone
(281) 215-3625
Fax
(833) 302-0272
NPI assigned
Sep 30, 2019
Last updated
Feb 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 69696 TX Primary

Addresses

Primary practice location

12345 Jones Rd Ste 287-14
Houston, TX 77070-4960

Mailing address

12345 Jones Rd Ste 287-14
Houston, TX 77070-4960
Phone (281) 215-3625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240129002238 TX Practitioner - Mental Health Counselor 8628421435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12345 Jones Rd
Suite 287 14
Houston, TX 77070-4960
Phone (281) 215-3625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
69696TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Courage to Talk Counseling, PLLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Prairie Harbor, LLC PastSince Oct 1, 2019 Accepting new patients

Locations

17510 Huffmeister Rd
Ste 102
Cypress, TX 77429
Phone (713) 481-2808

12345 Jones Rd
Ste 287-14
Houston, TX 77070
Phone (281) 215-3625

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1477194686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12345 JONES RD STE 287-14",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704960",
            "telephone_number": "281-215-3625",
            "fax_number": "833-302-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12345 JONES RD STE 287-14",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704960",
            "telephone_number": "281-215-3625",
            "fax_number": "833-302-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KIMBERLY",
        "middle_name": "SIENNA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.