Kaitlyn Nicole Davis, M.ED., LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2710 Issued in NH

Practice address

501 Islington St Ste 2D
Portsmouth, NH 03801-4288

Phone

(603) 288-1254

NPI assigned

Aug 11, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NH, MA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MKM Holdings, IncGroup PAC ID 5698211613, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• MKM Holdings, Inc

  • Marriage & Family Therapist
  • Portsmouth, NH
  • NPI 1124706791

  MA, NH

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1528512159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 ISLINGTON ST STE 2D",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014288",
            "telephone_number": "603-288-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ISLINGTON ST STE 2D",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014288",
            "telephone_number": "603-288-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KAITLYN",
        "middle_name": "NICOLE",
        "credential": "M.ED., LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "LPC06865",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "2710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Casimir Danielski, M.D.
• Tristram Heyward Dashti-Gibson, LCMHC
• Daniel L Davies, DO
• Gareth Davies, M.D.
• Cassandra Lynne Davis, BA
• Katherine Davis
• Christopher S Dawson, D.C.
• Margaret M. Dawson, ED.D
• Heather Day
• Daniel H De Tolla, D.D.S., M.D.

• All providers in Portsmouth, NH
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.