Active NPI
Jeffrey Davis, LPC
- Mental Health Counselor
- Austin, TX
National Provider Identifier
1679230593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 78389
- Practice address
- 7703 N Lamar Blvd Ste 500
Austin, TX 78752-1055 - Phone
- (512) 302-1000
- NPI assigned
- Nov 27, 2021
- 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 | 78389 | TX | Primary |
Addresses
Primary practice location
7703 N Lamar Blvd Ste 500
Austin, TX 78752-1055
Mailing address
3600 N Hills Dr Apt 124
Austin, TX 78731-3002
Phone (702) 480-5595
Other names 1
- Doc Davis
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78389 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637971200000",
"number": "1679230593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 N HILLS DR APT 124",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787313002",
"telephone_number": "702-480-5595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7703 N LAMAR BLVD STE 500",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787521055",
"telephone_number": "512-302-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JEFFREY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-27",
"last_updated": "2021-11-27",
"certification_date": "2021-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "78389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DOC",
"last_name": "DAVIS",
"credential": "LPC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.