Active NPI
Nicole T. Davis, LPC
- Professional Counselor
- South Plainfield, NJ
National Provider Identifier
1568704161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00450300
- Practice address
- 285 Durham Ave
BLDG. #6, Suite 2a
South Plainfield, NJ 07080-2546 - Phone
- (908) 548-8533
- Fax
- (908) 548-8532
- NPI assigned
- Mar 21, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00450300 | NJ | Primary |
Addresses
Primary practice location
285 Durham Ave
BLDG. #6, Suite 2a
South Plainfield, NJ 07080-2546
Mailing address
285 Durham Ave
BLDG. #6, Suite 2a
South Plainfield, NJ 07080-2546
Phone (908) 548-8533
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00450300 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363824000000",
"number": "1568704161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 DURHAM AVE",
"address_2": "BLDG. #6, SUITE 2A",
"city": "SOUTH PLAINFIELD",
"state": "NJ",
"postal_code": "070802546",
"telephone_number": "908-548-8533",
"fax_number": "908-548-8532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 DURHAM AVE",
"address_2": "BLDG. #6, SUITE 2A",
"city": "SOUTH PLAINFIELD",
"state": "NJ",
"postal_code": "070802546",
"telephone_number": "908-548-8533",
"fax_number": "908-548-8532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "NICOLE",
"middle_name": "T.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-21",
"last_updated": "2013-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00450300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Plainfield, NJ
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.