Active NPI
Penny J. Davies, PH.D.
- Mental Health Counselor
- Espanola, NM
National Provider Identifier
1740373620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPCC #0503
- Practice address
- 600 E Fairview LN
Suite D
Espanola, NM 87532-2816 - Phone
- (505) 753-6260
- Fax
- (505) 753-6260
- NPI assigned
- Oct 2, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPCC #0503 | NM | Primary |
Addresses
Primary practice location
600 E Fairview LN
Suite D
Espanola, NM 87532-2816
Mailing address
PO Box 1202
Santa Cruz, NM 87567-1202
Phone (505) 753-6260
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1037113 | Other | NM | CIGNA BEHAVIORAL HEALTH |
| B9533 | Medicaid | NM | |
| NM100145 | Other | NM | VALUE OPTIONS |
Other names 1
- Penelope J. Davies
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC #0503 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740373620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1202",
"city": "SANTA CRUZ",
"state": "NM",
"postal_code": "875671202",
"telephone_number": "505-753-6260",
"fax_number": "505-753-6260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 E FAIRVIEW LN",
"address_2": "SUITE D",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875322816",
"telephone_number": "505-753-6260",
"fax_number": "505-753-6260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIES",
"first_name": "PENNY",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "LPCC #0503",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "1037113",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B9533",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "NM100145",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PENELOPE",
"last_name": "DAVIES",
"middle_name": "J.",
"credential": "PH.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Espanola, NM
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.