Individual provider Active NPI

Veronica Davis, LPC-S, ADC, ICADC

  • Counselor
  • Mobile, AL
National Provider Identifier
1487956884
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2621 Issued in AL
Practice address
605 Bel Air Blvd Ste 33
Mobile, AL 36606-3529
Phone
(251) 444-9740
Fax
(251) 478-5015
NPI assigned
Nov 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2621 AL Primary

Addresses

Primary practice location

605 Bel Air Blvd Ste 33
Mobile, AL 36606-3529

Mailing address

605 Bel Air Blvd Ste 33
Mobile, AL 36606-3529
Phone (251) 444-9740

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
2621ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
License Professional Counseling Services, LLC CurrentSince Jan 15, 2023 Accepting new patients

Locations

605 Bel Air Blvd
Ste 10
Mobile, AL 36606
Phone (251) 478-5050

605 Bel Air Blvd
Ste 33
Mobile, AL 36606
Phone (251) 444-9740

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1487956884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 BEL AIR BLVD STE 33",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063529",
            "telephone_number": "251-444-9740",
            "fax_number": "251-478-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 BEL AIR BLVD STE 33",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063529",
            "telephone_number": "251-444-9740",
            "fax_number": "251-478-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "VERONICA",
        "credential": "LPC-S, ADC, ICADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "2621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.