Amythest Davis, LCAT, ATR-BC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P05697 Issued in NY

Practice address

98 North Ave
Webster, NY 14580-3193

Phone

(585) 210-0150

NPI assigned

Apr 17, 2017

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1578097648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 NORTH AVE",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145803193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 NORTH AVE",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145803193",
            "telephone_number": "585-210-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AMYTHEST",
        "credential": "LCAT, ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-17",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "002262",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P05697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE",
            "identifier": "002262",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "amythestdavis.serenitylife@gmail.com",
            "affiliation": "N",
            "address_1": "98 North Ave",
            "city": "Webster",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145803193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Danwins LLC
• Danwins LLC (Danwins Pharmacy)
• Todd Randall Dappen
• James Darby, LMT
• Katherine A Davidson, DPT
• Glenn Richard Davis
• Lorraine C Davis, RN
• Nicholas K Davis, OD
• Michael James Deangelis, PHARMD
• Debole Chiropractic Webster PLLC

• Mental Health Counselor in Webster, NY
• Providers in Webster, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.