Active NPI
Danyelle Antionette Davis, M.ED., LPC, BCTMH
- Mental Health Counselor
- Austin, TX
National Provider Identifier
1699151605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2228
- Practice address
- 100 W Dean Keeton St
Austin, TX 78712-1091 - Phone
- (512) 471-3515
- NPI assigned
- Aug 3, 2015
- Last updated
- Dec 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Mental Health Counselor | 101YM0800X | 86313 | TX | |
| Mental Health Counselor | 101YM0800X | 2228 | MS | Primary |
Addresses
Primary practice location
100 W Dean Keeton St
Austin, TX 78712-1091
Mailing address
100 W Dean Keeton St
Austin, TX 78712-1091
Phone (512) 471-3515
Other practice location 1
905 Old Highway 15
Ecru, MS 38841-9135
Phone (662) 586-1123
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05279542 | Medicaid | MS | |
| 2228 | Other | MS | LPC |
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2228 | MS | MD | Mental Health Counselor |
| 86313 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670976000000",
"number": "1699151605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W DEAN KEETON ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787121091",
"telephone_number": "512-471-3515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W DEAN KEETON ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787121091",
"telephone_number": "512-471-3515"
}
],
"practiceLocations": [
{
"address_1": "905 Old Highway 15",
"address_purpose": "LOCATION",
"city": "Ecru",
"state": "MS",
"postal_code": "388419135",
"country_code": "US",
"telephone_number": "662-586-1123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "DANYELLE",
"middle_name": "ANTIONETTE",
"name_prefix": "Mrs.",
"credential": "M.ED., LPC, BCTMH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-03",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "86313",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MS",
"license": "2228",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05279542",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC",
"identifier": "2228",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}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 Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.