Individual provider Active NPI

Janice Denise Davis, M.ED, ED.S

  • Professional Counselor
  • Portsmouth, VA
National Provider Identifier
1740545557
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701006394 Issued in VA
Practice address
600 Crawford St
Portsmouth, VA 23704-3820
Phone
(678) 778-4342
NPI assigned
Jul 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701006394 VA
Mental Health Counselor 101YM0800X 005840 GA
Professional Counselor 101YP2500X 9474 NC
Professional Counselor 101YP2500X 005840 GA
Professional Counselor 101YP2500X 0701006394 VA Primary

Addresses

Primary practice location

600 Crawford St
Portsmouth, VA 23704-3820

Mailing address

PO Box 5705
Virginia Beach, VA 23471-0705
Phone (678) 778-4342

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

LicenseStateTypeSpecialty
0701006394VAMDMental Health Counselor
005840GAMDProfessional Counselor
9474NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fairhavens Counseling and Community Services Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1341705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1740545557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5705",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234710705",
            "telephone_number": "678-778-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CRAWFORD ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043820",
            "telephone_number": "678-778-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JANICE",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "M.ED, ED.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-08",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701006394",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "005840",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "9474",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "005840",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.