Kenzie L Davis

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

12384A Issued in NC

Practice address

110 Iowa LN Ste 204
Cary, NC 27511-2400

Phone

(919) 587-8018

NPI assigned

Dec 22, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1619637303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 WILLS GROVE LN APT 303",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276158078",
            "telephone_number": "336-202-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 IOWA LN STE 204",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275112400",
            "telephone_number": "919-587-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KENZIE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "12384A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kenzie.davis@mathewscounseling.net",
            "affiliation": "Y",
            "affiliationName": "Mathews Counseling PLLC",
            "address_1": "110 Iowa Ln Ste 204",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275112400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James Richard Davis, ATC, LAT
• Jeffery Brent Davis II
• Jessica Alexis Davis, MS, LBA, BCBA
• Jillian Grace Davis
• Joelle Davis
• Lee Evelyn Davis, PHARMD
• Milo Davis
• Molly Davis, MA CCC-SLP
• Novlet Jarrett Davis, MD
• Sarah G Davis

• Marriage & Family Therapist in Cary, NC
• Providers in Cary, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.