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Casonja Davis, M.A., LPC, NCC

Individual provider Active NPI Professional Counselor · Asheboro, NC

NPI 1699105403 · NPPES record last updated Mar 13, 2023

Key facts

NPI
1699105403
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
10295 (NC)
Practice address
505 S Church St
Asheboro, NC 27203-5673
Phone
(910) 473-0685
Fax
(336) 625-6113
NPI assigned
Nov 14, 2013
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
318704NCMDMental Health Counselor
10295NCMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Asheboro Family Counseling, PLLC Current
since Mar 19, 2023		 Accepting new patients

Locations

505 S Church St
Asheboro, NC 27203
Phone (336) 625-3888

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 318704 NC
Professional Counselor 101YP2500X 10295 NC Yes

Addresses

Primary practice location

505 S Church St
Asheboro, NC 27203-5673

Mailing address

15 Ivyglen CT
Greensboro, NC 27406-9287
Phone (910) 473-0685

Other providers in Asheboro, NC

All providers in Asheboro, NC · Professional Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.