Trina Davis

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Practice address

9413 Hull Street Rd Ste A1
North Chesterfield, VA 23236-1246

Phone

(804) 322-7795

Fax

(804) 773-4449

NPI assigned

Jan 31, 2023

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Pursue Family Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Chesterfield, VA
  • NPI 1114623667
  NPD Authorized official

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1639875875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9413 HULL STREET RD STE A1",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232361246",
            "telephone_number": "804-322-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9413 HULL STREET RD STE A1",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232361246",
            "telephone_number": "804-322-7795",
            "fax_number": "804-773-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "6676-LICRSENSE NUMBER",
            "identifier": "6676",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pursuefs@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9413 Hull Street Rd Ste A1",
            "city": "North Chesterfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232361246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Darice Nicole Davis, PSY.D.
• Kia Marie Davis, PHARMD
• Leslie Lynt Davis, MD
• Lois Ann Davis, MD
• Matthew Davis
• Walter S Davis
• William York Davis
• Simone Dawkins, CSAC, RC
• Daybreak Adult Services
• Dwight Deadmon, SA

• Pastoral Counselor in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Pastoral Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.