Individual provider Active NPI

Aalayah Rasheed Davenport

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1639516958
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC015671 Issued in GA
Practice address
1712 Linwood Ave
Atlanta, GA 30344-3121
Phone
(216) 357-1573
NPI assigned
May 28, 2013
Last updated
May 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X 5933 LA
Professional Counselor 101YP2500X LPC015671 GA Primary

Addresses

Primary practice location

1712 Linwood Ave
Atlanta, GA 30344-3121

Mailing address

1712 Linwood Ave
Atlanta, GA 30344-3121
Phone (216) 357-1573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250609000497 GA Practitioner - Mental Health Counselor 3476063553 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5933LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Health Medical Group PA Mental Health CurrentSince Apr 16, 2025 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Volunteers of America Southeast Louisiana, Inc. PastSince Jul 28, 2019 Accepting new patients

Locations

1951 NW 7th Ave
Fl 3
Miami, FL 33136
Phone (305) 297-4749

Interoperability endpoints

  • Direct secure messaging: aalayahrasheed@tdh.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1639516958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 LINWOOD AVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303443121",
            "telephone_number": "216-357-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 LINWOOD AVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303443121",
            "telephone_number": "216-357-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "AALAYAH",
        "middle_name": "RASHEED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "5933",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC015671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.