Active NPI
Sara Ashley Davis, LMFT
- Marriage & Family Therapist
- Raleigh, NC
National Provider Identifier
1598031510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1625
- Practice address
- 3725 National Dr
#220
Raleigh, NC 27612-4066 - Phone
- (919) 781-7380
- NPI assigned
- Mar 23, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1625 | NC | Primary |
Addresses
Primary practice location
3725 National Dr
#220
Raleigh, NC 27612-4066
Mailing address
3725 National Dr
#220
Raleigh, NC 27612-4066
Phone (919) 781-7380
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8631 | Medicaid | NC |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back to Center Counseling, LLC | Current | Accepting new patients |
Locations
5711 Six Forks Rd
Ste 310
Raleigh, NC 27609
Phone (919) 891-8960
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Raleigh, NC
- NPI 1790454619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412812800000",
"number": "1598031510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3725 NATIONAL DR",
"address_2": "#220",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276124066",
"telephone_number": "919-781-7380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3725 NATIONAL DR",
"address_2": "#220",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276124066",
"telephone_number": "919-781-7380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SARA",
"middle_name": "ASHLEY",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-23",
"last_updated": "2014-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "1625",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8631",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.