Active NPI
Chelsea Davis
- Mental Health Counselor
- Lancaster, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ASW67442
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW67442 | CA | MD | Social Worker |
| 115468 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All for Kids Organization | Current | 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.
-
- Psychologist
- Victorville, CA
- NPI 1104463371
-
- Community/Behavioral Health Agency
- Lancaster, CA
- NPI 1548396161
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.