Nicole Lee Davis, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

NICOLE LEE DAVIS, PLLC

Practice address

319 Court SQ
Sanford, NC 27330-5658

Phone

(336) 501-6665

NPI assigned

Nov 22, 2023

Organization subpart

No

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

Authorized official

Name

Nicole L Davis, LCMHC, LCAS, CSINPI 1083241681

Title

Counselor

Phone

(336) 501-6665

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Lee Davis, LCMHC, LCAS, CSI

  • Addiction (Substance Use Disorder) Counselor
  • Siler City, NC
  • NPI 1083241681
  Medicare reassignment NPD Authorized official
• Britton Paull Noel, LCMHC, LCAS

  • Mental Health Counselor
  • Sanford, NC
  • NPI 1144856303
  NPD

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1700651437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W CHISHOLM ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273303759",
            "telephone_number": "336-501-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 COURT SQ",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305658",
            "telephone_number": "336-501-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE LEE DAVIS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "336-501-6665",
        "authorized_official_credential": "LCMHC, LCAS, CSI"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Nicole Newman, MSP, CCC-SLP
• Katherine Elizabeth Newman
• Meredith Carr Newton, P.A.-C
• Brandy Collins Newtown, MSN, APRN, FNP-C
• Nichole Merritt McFarland, Ma, LMFT, PC
• Chaseton Nielsen, DO
• Ruby Nkwenti, PHARMD
• Britton Paull Noel, LCMHC, LCAS
• Jennifer B Normann, MD
• North Carolina Anesthesia Partners, PLLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Sanford, NC
• Providers in Sanford, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.