Individual provider Active NPI

Kathleen Ann Davis, LPC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1679237812
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
62380 Issued in TX
Practice address
5821 Southwest Fwy Ste 200
Houston, TX 77057-7501
Phone
(713) 910-0296
Fax
(713) 910-0358
NPI assigned
Oct 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 62380 TX Primary

Addresses

Primary practice location

5821 Southwest Fwy Ste 200
Houston, TX 77057-7501

Mailing address

5821 Southwest Fwy Ste 200
Houston, TX 77057-7501
Phone (713) 910-0296

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

LicenseStateTypeSpecialty
62380TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Admore Behavioral Therapy CurrentSince Jul 23, 2023 Accepting new patients
Admore Physical & Speech Rehab, LLC PastSince Oct 31, 2021 Accepting new patients

Locations

5821 Southwest Fwy
Ste 200
Houston, TX 77057
Phone (713) 910-0296

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": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1679237812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 SOUTHWEST FWY STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577501",
            "telephone_number": "713-910-0296",
            "fax_number": "713-910-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 SOUTHWEST FWY STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577501",
            "telephone_number": "713-910-0296",
            "fax_number": "713-910-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.

Verify at the official NPI Registry.