Individual provider Active NPI

Cecily R. Davis, LPC

  • Professional Counselor
  • Grovetown, GA
National Provider Identifier
1770288243
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC015386 Issued in GA
Practice address
748 Coventry Ave
Grovetown, GA 30813-8135
Phone
(318) 789-2230
NPI assigned
Apr 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 86894 TX
Professional Counselor 101YP2500X CTB-2024-0186 NM
Professional Counselor 101YP2500X 12077 SC
Mental Health Counselor 101YM0800X 86894 TX
Professional Counselor 101YP2500X LPC015386 GA Primary

Addresses

Primary practice location

748 Coventry Ave
Grovetown, GA 30813-8135

Mailing address

748 Coventry Ave
Grovetown, GA 30813-8135
Phone (318) 789-2230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20250813000119 GA Practitioner - Mental Health Counselor 4284132887 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

500 Westover Dr
Sanford, NC 27330-8941

748 Coventry Ave
Grovetown, GA 30813-8135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CTB-2024-0186NMMDProfessional Counselor
86894TXMDProfessional Counselor
12077SCMDPediatric Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Behavioral and Trauma Specialties, LLC Mental Health CurrentSince Apr 1, 2023 Accepting new patients
Neurobehavioral Associates, LLC Mental Health CurrentSince Dec 9, 2025 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Jun 26, 2025 Accepting new patients
New Mercy Behavioral Health LLC CurrentSince Dec 9, 2025 Accepting new patients

Locations

3424 Peachtree Rd NE
Ste 2200
Atlanta, GA 30326
Phone (404) 436-2563

207 Hudson Trce
Augusta, GA 30907
Phone (706) 823-5250

9434 Viscount Blvd
Ste 234
El Paso, TX 79925
Phone (915) 274-8053

9440 Viscount Blvd
Ste 200
El Paso, TX 79925
Phone (915) 637-7627

Organizations & group practices 4

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": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1770288243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 COVENTRY AVE",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308138135",
            "telephone_number": "318-789-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 COVENTRY AVE",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308138135",
            "telephone_number": "318-789-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CECILY",
        "middle_name": "R.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "86894",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB-2024-0186",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "12077",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "86894",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC015386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grovetown, GA

Sources for this page

Verify at the official NPI Registry.