Active NPI
Sarah Hagan Davis, MA, LPC
- Professional Counselor
- Rock Hill, SC
National Provider Identifier
1497421077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7194
- Practice address
- 1565 Ebenezer Rd Ste 210
Rock Hill, SC 29732-3625 - Phone
- (478) 804-1542
- NPI assigned
- Aug 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7194 | SC | Primary |
Addresses
Primary practice location
1565 Ebenezer Rd Ste 210
Rock Hill, SC 29732-3625
Mailing address
2126 Eddie Massey LN
Rock Hill, SC 29730-0026
Phone (478) 804-1542
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7194 | Other | NONE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Shdavislpc@gmail.com | Direct |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7194 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Resource Group | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Fort Mill, SC
- NPI 1578133781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1497421077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2126 EDDIE MASSEY LN",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297300026",
"telephone_number": "478-804-1542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1565 EBENEZER RD STE 210",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297323625",
"telephone_number": "478-804-1542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SARAH",
"middle_name": "HAGAN",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-23",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "7194",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "7194",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Shdavislpc@gmail.com",
"affiliation": "N",
"endpointDescription": "Business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2126 Eddie Massey Ln",
"city": "Rock Hill",
"state": "SC",
"country_code": "US",
"postal_code": "297300026",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.