Dava Naomi Johnson, MS NCC LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

001483 Issued in CT

Practice address

20 Germantown Road
Behavioral Medicine and Counseling Center
Danbury, CT 06810

Phone

(203) 748-1200

Fax

(203) 790-0010

NPI assigned

Jun 26, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dava Naomi Lowenthal Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1477715951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GERMANTOWN ROAD",
            "address_2": "BEHAVIORAL MEDICINE AND COUNSELING CENTER",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "06810",
            "telephone_number": "203-748-1200",
            "fax_number": "203-790-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GERMANTOWN ROAD",
            "address_2": "BEHAVIORAL MEDICINE AND COUNSELING CENTER",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "06810",
            "telephone_number": "203-748-1200",
            "fax_number": "203-790-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAVA",
        "middle_name": "NAOMI",
        "name_prefix": "Ms.",
        "credential": "MS NCC LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "001483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD ANTHEM BEHAVIORAL HEALTH NE",
            "identifier": "240001483CT01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7967874",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVA",
            "last_name": "LOWENTHAL",
            "middle_name": "NAOMI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Professional Counselor in Danbury, CT
• Providers in Danbury, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.