Active NPI
Kelly Jane Davis, MA LPC
- Professional Counselor
- Littleton, CO
National Provider Identifier
1720156953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2499
- Practice address
- 61 W Davies Ave N
Littleton, CO 80120-5252 - Phone
- (303) 797-9343
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Parker, CO
- NPI 1437763968
CO
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Littleton, CO
- NPI 1336754100
-
- Substance Abuse Rehabilitation Facility
- Watkins, CO
- NPI 1710868609
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240105003982 | CO | Practitioner - Mental Health Counselor | 0345691002 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2499 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arapahoe Mental Health Center, Inc | Current | Accepting new patients | |
| Arapahoe Mental Health Center, Inc | Current | Accepting new patients | |
| Arapahoe Mental Health Center, Inc | Current | Accepting new patients |
Locations
116 Inverness Dr E
Ste 105
Englewood, CO 80112
5524 S Prince St
Littleton, CO 80120
Phone (303) 730-0797
61 W Davies Ave N
Littleton, CO 80120
Phone (303) 797-9420
10350 Dransfeldt Rd
Parker, CO 80134
Phone (303) 597-3860
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2499 | CO | Primary |
Addresses
Primary practice location
61 W Davies Ave N
Littleton, CO 80120-5252
Mailing address
1580 S Corona St
Denver, CO 80210-2717
Phone (303) 722-7572
NPI Registry JSON
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720156953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1580 S CORONA ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802102717",
"telephone_number": "303-722-7572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 W DAVIES AVE N",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801205252",
"telephone_number": "303-797-9343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KELLY",
"middle_name": "JANE",
"credential": "MA LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "2499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.