Organization Active NPI

Mark Davis, LMHP, LPC, Inc

  • Professional Counselor
  • Lincoln, NE
National Provider Identifier
1649204827
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1302 Issued in NE
Legal business name
MARK DAVIS, LMHP, LPC, INC
Practice address
4830 S 69TH St
Lincoln, NE 68516-1501
Phone
(402) 440-7884
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark Davis, LMHP, LPC
Title
President
Phone
(402) 440-7884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 1302 NE Primary

Addresses

Primary practice location

4830 S 69TH St
Lincoln, NE 68516-1501

Mailing address

4830 S 69TH St
Lincoln, NE 68516-1501
Phone (402) 440-7884

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649204827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 S 69TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161501",
            "telephone_number": "402-440-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 S 69TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161501",
            "telephone_number": "402-440-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK DAVIS, LMHP, LPC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-440-7884",
        "authorized_official_credential": "LMHP, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "1302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.