Casonja Davis, M.A., LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10295 Issued in NC

Practice address

505 S Church St
Asheboro, NC 27203-5673

Phone

(910) 473-0685

Fax

(336) 625-6113

NPI assigned

Nov 14, 2013

Last updated

Mar 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Asheboro Family Counseling, PLLC

  • Clinical Social Worker
  • Asheboro, NC
  • NPI 1306402326
  NPD

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1699105403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 IVYGLEN CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274069287",
            "telephone_number": "910-473-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S CHURCH ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035673",
            "telephone_number": "910-473-0685",
            "fax_number": "336-625-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CASONJA",
        "credential": "M.A., LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "318704",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Marie Dacal, MSW, LCSWA
• Arist Maness Dagout
• Daniel Max & Marcandrea LLC
• John Robert Darwin, D.D.S.
• David B Malin DDS
• Dantre Davis, PA-C
• Sara R Davis, PA-C
• Wendy L Davis, MS
• Daymark Recovery Services Inc
• Daymark Recovery Services Inc

• Professional Counselor in Asheboro, NC
• Providers in Asheboro, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.