Crystal Leigh Davis, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC007343 Issued in PA

Practice address

43 Leopard Rd Ste 203
Paoli, PA 19301-1552

Phone

(484) 880-3004

NPI assigned

May 24, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1669963708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CONREYS WAY",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193351676",
            "telephone_number": "484-880-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 LEOPARD RD STE 203",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011552",
            "telephone_number": "484-880-3004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 John Robert Thomas Dr",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193412652",
            "country_code": "US",
            "telephone_number": "484-880-3004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CRYSTAL",
        "middle_name": "LEIGH",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC007343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Malloy-Good
• Jessica Dankanich, MS OTR/L
• David Mark Danoff, MD
• David a. Shields, D.C., P.C.
• Bancroft G Davis, PSYD
• Vera Davis, CRNP
• Christine M. Day, APRN, AGPCNP-BC
• Daylesford Family Medicine, P.C.
• Marleena Ann Debrough
• Donna Dellaria, LPC

• Professional Counselor in Paoli, PA
• Providers in Paoli, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.