Nicole Leanne Davis, LMHC, SUDP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC60171023 Issued in WA

Practice address

2120 1St Ave N # 210
Seattle, WA 98109-2301

Phone

(206) 594-0574

NPI assigned

Jan 14, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Iaso Therapy and Consultation

  • Mental Health Counselor
  • Seattle, WA
  • NPI 1164315859

  Addiction (Substance Use Disorder)

  NPD
• Sound

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tukwila, WA
  • NPI 1780774950
  NPD (past)

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1740585165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 QUEEN ANNE AVE N APT 12",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095709",
            "telephone_number": "602-326-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 1ST AVE N # 210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092301",
            "telephone_number": "206-594-0574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14270 NE 21st St",
            "address_2": "Sound Mental Health",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980073720",
            "country_code": "US",
            "telephone_number": "425-653-5006",
            "fax_number": "425-653-5010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NICOLE",
        "middle_name": "LEANNE",
        "credential": "LMHC, SUDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-14",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60171023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael P Davis
• Molly K. Davis, M.D.
• Mykayla Kiara Davis
• Natalie Davis
• Neiba Guadalupe Davis, MA
• Nora Davis
• Patricia Marie Davis, MSW, LMHC
• Paul Davis, LPN
• Pearline Josephine Davis, ND
• Richard E Davis, MD

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.