Active NPI
Kenneth L Davis, M.S.
- Mental Health Counselor
- Spokane, WA
National Provider Identifier
1649601774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC60412246
- Practice address
- 1404 E. 11TH Avenue
Spokane, WA 99202 - Phone
- (509) 744-1117
- Fax
- (509) 744-3055
- NPI assigned
- Nov 27, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC60412246 | WA | Primary |
Addresses
Primary practice location
1404 E. 11TH Avenue
Spokane, WA 99202
Mailing address
PO Box 3183
Spokane, WA 99220
Phone (509) 744-1117
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC60412246 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385510400000",
"number": "1649601774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3183",
"city": "SPOKANE",
"state": "WA",
"postal_code": "99220",
"telephone_number": "509-744-1117",
"fax_number": "509-744-3055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1404 E. 11TH AVENUE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "99202",
"telephone_number": "509-744-1117",
"fax_number": "509-744-3055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KENNETH",
"middle_name": "L",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-27",
"last_updated": "2013-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC60412246",
"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 Nov 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.