Individual provider Active NPI

Chelsea Davis

  • Mental Health Counselor
  • Lancaster, CA
National Provider Identifier
1659788024
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
ASW67442 Issued in CA
Practice address
921 W Avenue J Ste C
Lancaster, CA 93534-3443
Phone
(213) 342-0150
NPI assigned
Jul 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X ASW67442 CA
Mental Health Counselor 101YM0800X ASW67442 CA Primary

Addresses

Primary practice location

921 W Avenue J Ste C
Lancaster, CA 93534-3443

Mailing address

921 W Avenue J Ste C
Lancaster, CA 93534-3443
Phone (213) 342-0150

Other practice location 1

940 Avenue 64
Pasadena, CA 91105-2711
Phone (323) 543-2800

Other practice location 2

940 Avenue 64
Pasadena, CA 91105-2711
Phone (323) 543-2800

Other practice location 3

1907 Boys Republic Dr
Chino Hills, CA 91709
Phone (909) 628-1217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260421003378 CA Practitioner - Clinical Social Worker 3072974757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15497 W Sand St
Victorville, CA 92392-2910

2733 Serrano Rd
San Bernardino, CA 92405-3049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW67442CAMDSocial Worker
115468CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
All for Kids Organization CurrentSince Dec 21, 2025 Accepting new patients

Locations

921 W Avenue J
Ste C
Lancaster, CA 93534
Phone (661) 949-0131

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": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1659788024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 W AVENUE J STE C",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343443",
            "telephone_number": "213-342-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 W AVENUE J STE C",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343443",
            "telephone_number": "213-342-0150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 Avenue 64",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911052711",
            "country_code": "US",
            "telephone_number": "323-543-2800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "940 Avenue 64",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911052711",
            "country_code": "US",
            "telephone_number": "323-543-2800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1907 Boys Republic Dr",
            "address_purpose": "LOCATION",
            "city": "Chino Hills",
            "state": "CA",
            "postal_code": "91709",
            "country_code": "US",
            "telephone_number": "909-628-1217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHELSEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW67442",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW67442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.