Individual provider Active NPI

Nika Davenport

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1649502360
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60324034 Issued in WA
Practice address
515 W Francis Ave Ste 5
Spokane, WA 99205-6413
Phone
(509) 283-1077
NPI assigned
Feb 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60324034 WA Primary

Addresses

Primary practice location

515 W Francis Ave Ste 5
Spokane, WA 99205-6413

Mailing address

515 W Francis Ave Ste 5
Spokane, WA 99205-6413
Phone (509) 283-1077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LH60324034WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Blackman Child and Family Counseling Mental Health CurrentSince May 12, 2024 Accepting new patients
Children'S Home Society of Washington Past Accepting new patients

Locations

515 W Francis Ave
Ste 5
Spokane, WA 99205
Phone (509) 283-1077

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1649502360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W FRANCIS AVE STE 5",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056413",
            "telephone_number": "509-283-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W FRANCIS AVE STE 5",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056413",
            "telephone_number": "509-283-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "NIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60324034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.