Tim Andrew Davis, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0016569 Issued in CO

Practice address

5250 Leetsdale Dr Ste 220
Denver, CO 80246-1438

Phone

(303) 629-5293

NPI assigned

Apr 15, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health SolutionsGroup PAC ID 0143110668, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Health Solutions

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pueblo, CO
  • NPI 1033165527
  Medicare reassignment Care Compare group NPD
• Health Solutions

  • Respite Care
  • Pueblo, CO
  • NPI 1184475121
  NPD
• Health Solutions

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pueblo, CO
  • NPI 1851459754
  NPD

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1770146995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 LEETSDALE DR STE 220",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461438",
            "telephone_number": "303-629-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 LEETSDALE DR STE 220",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461438",
            "telephone_number": "303-629-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TIM",
        "middle_name": "ANDREW",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0016569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Nicole Davis, M.D.
• Sydney Davis
• Sydney Carmen Jean Davis
• Taylor Davis
• Tevin Chavon Davis
• Valerie Ann Davis, RN
• Brandon Scott Davison Tracy, MD
• Blake Davison
• Cherise Davison
• Selah Davison, MSW, LCSW

• Mental Health Counselor in Denver, CO
• Providers in Denver, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.