Active NPI
Karen R Davis, M.A., L.P.A.
- Clinical Psychologist
- Greenville, NC
National Provider Identifier
1508060005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3395
- Practice address
- 3491 Evans St
Suite a
Greenville, NC 27834-4534 - Phone
- (252) 349-5838
- Fax
- (252) 364-2231
- NPI assigned
- Jun 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3395 | NC | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-A 20839 | NC |
Addresses
Primary practice location
3491 Evans St
Suite a
Greenville, NC 27834-4534
Mailing address
2163 Preston Trails Dr
Winterville, NC 28590-7047
Phone (252) 349-5838
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 |
|---|---|---|---|
| LCAS-A 20839 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 3395 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441065600000",
"number": "1508060005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2163 PRESTON TRAILS DR",
"city": "WINTERVILLE",
"state": "NC",
"postal_code": "285907047",
"telephone_number": "252-349-5838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3491 EVANS ST",
"address_2": "SUITE A",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278344534",
"telephone_number": "252-349-5838",
"fax_number": "252-364-2231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KAREN",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "M.A., L.P.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-11",
"last_updated": "2015-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "3395",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-A 20839",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.