Active NPI
Sarah E Davis, LPC
- Professional Counselor
- Rockwall, TX
National Provider Identifier
1639792575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 75472
- Practice address
- 1005 W Ralph Hall Pkwy
Rockwall, TX 75032-6658 - Phone
- (469) 545-0160
- NPI assigned
- May 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 75472 | TX | |
| Professional Counselor | 101YP2500X | 75472 | TX | Primary |
Addresses
Primary practice location
1005 W Ralph Hall Pkwy
Rockwall, TX 75032-6658
Mailing address
100 N 1St St
Wylie, TX 75098-4473
Phone (469) 757-4525
Other practice location 1
202 Industrial Ct
Wylie, TX 75098-3952
Phone (469) 757-4525 ext. 500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75472 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wylie Counseling Associates, PLLC | Professional | Past | Accepting new patients |
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.
-
- Professional Counselor
- Wylie, TX
- NPI 1205086295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1639792575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N 1ST ST",
"city": "WYLIE",
"state": "TX",
"postal_code": "750984473",
"telephone_number": "469-757-4525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 W RALPH HALL PKWY",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750326658",
"telephone_number": "469-545-0160"
}
],
"practiceLocations": [
{
"address_1": "202 Industrial Ct",
"address_purpose": "LOCATION",
"city": "Wylie",
"state": "TX",
"postal_code": "750983952",
"country_code": "US",
"telephone_number": "469-757-4525 x500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "SARAH",
"middle_name": "E",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-27",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "75472",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "75472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.