Individual provider Active NPI

Rhonda Nicole Davis, LPCS

  • Professional Counselor
  • Raleigh, NC
National Provider Identifier
1487147096
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
S9204 Issued in NC
Practice address
12524 Birchfalls Dr
Raleigh, NC 27614-9676
Phone
(919) 796-0961
NPI assigned
Jun 8, 2018
Last updated
Jun 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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 S9204 NC Primary

Addresses

Primary practice location

12524 Birchfalls Dr
Raleigh, NC 27614-9676

Mailing address

12524 Birchfalls Dr
Raleigh, NC 27614-9676
Phone (919) 796-0961

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

LicenseStateTypeSpecialty
S9204NCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1487147096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12524 BIRCHFALLS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276149676",
            "telephone_number": "919-796-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12524 BIRCHFALLS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276149676",
            "telephone_number": "919-796-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RHONDA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LPCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "S9204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.