Organization Active NPI

Joanna R. Davis, LMHC Cap

  • Mental Health Counselor
  • Mary Esther, FL
National Provider Identifier
1578000683
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10454 Issued in FL
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

Updated by the provider on Jan 26, 2017

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.