Active NPI
Joanna R. Davis, LMHC Cap
- Mental Health Counselor
- Mary Esther, FL
National Provider Identifier
1578000683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH10454
- Legal business name
- JOANNA R. DAVIS, LMHC CAP
- Practice address
- 124 E Miracle Strip Pkwy
Suite 602
Mary Esther, FL 32569-1988 - Phone
- (850) 243-7035
- NPI assigned
- Jan 26, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Tumaneng
- Title
- Insurance Specialist/Asst. Manager
- Phone
- (850) 243-7035
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH10454 | FL | Primary |
Addresses
Primary practice location
124 E Miracle Strip Pkwy
Suite 602
Mary Esther, FL 32569-1988
Mailing address
PO Box 879
Fort Walton Beach, FL 32549-0879
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485388800000",
"number": "1578000683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 879",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325490879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 E MIRACLE STRIP PKWY",
"address_2": "SUITE 602",
"city": "MARY ESTHER",
"state": "FL",
"postal_code": "325691988",
"telephone_number": "850-243-7035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOANNA R. DAVIS, LMHC CAP",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-26",
"last_updated": "2017-01-26",
"status": "A",
"authorized_official_last_name": "TUMANENG",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "INSURANCE SPECIALIST/ASST. MANAGER",
"authorized_official_telephone_number": "850-243-7035"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH10454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mary Esther, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.