Jessica Davis, MA, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

011404-01 Issued in NY

Practice address

81 Saint Marks LN
Islip, NY 11751-4116

Phone

(631) 455-1185

NPI assigned

Jun 21, 2021

Last updated

Jun 21, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1487223863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 MONTAUK HWY",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "119502917",
            "telephone_number": "631-772-3270",
            "fax_number": "631-924-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 SAINT MARKS LN",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117514116",
            "telephone_number": "631-455-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JESSICA",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011404-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael John D'Arienzo
• Nirmala Amelia D'Auguste Dejesus, MD
• Nicholas D'Auria, LMT
• Nicholas Dabrowski, DPT
• David Negron DPM PC
• Christine T Delgaizo, M.D.
• Rebecca Delio, PA-C
• Angelique Derosa
• Sara Desantis, D.D.S.
• Katherine Anne Desjardins

• Mental Health Counselor in Islip, NY
• Providers in Islip, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.