Active NPI
Laurie Erin Davis
- Mental Health Counselor
- Costa Mesa, CA
National Provider Identifier
1669755120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2300 Fairview Rd Apt T202
Costa Mesa, CA 92626-6438 - Phone
- (760) 840-0764
- Fax
- (714) 668-6194
- NPI assigned
- Sep 21, 2011
- Sex
- Female
- 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 | Primary |
Addresses
Primary practice location
2300 Fairview Rd Apt T202
Costa Mesa, CA 92626-6438
Mailing address
2300 Fairview Rd Apt T202
Costa Mesa, CA 92626-6438
Phone (760) 840-0764
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rize Counseling, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Fountain Valley, CA
- NPI 1609400837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316563200000",
"number": "1669755120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 FAIRVIEW RD APT T202",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926266438",
"telephone_number": "760-840-0764",
"fax_number": "714-668-6194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 FAIRVIEW RD APT T202",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926266438",
"telephone_number": "760-840-0764",
"fax_number": "714-668-6194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "LAURIE",
"middle_name": "ERIN",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-21",
"last_updated": "2011-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.