Active NPI
Rosa Lee Davis, M.ED., LPC
- Professional Counselor
- Crockett, TX
National Provider Identifier
1770577876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 13128
- Practice address
- 1320 E Houston Ave
Crockett, TX 75835-1761 - Phone
- (936) 544-9484
- Fax
- (936) 544-9749
- NPI assigned
- Sep 2, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 13128 | TX | Primary |
Addresses
Primary practice location
1320 E Houston Ave
Crockett, TX 75835-1761
Mailing address
501 Mantooth Ave
Lufkin, TX 75904-3014
Phone (936) 639-4993
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13128 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clark Psychological & Consultation PC | Past | Accepting new patients | |
| Crockett Counseling Center , LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychologist
- Lufkin, TX
- NPI 1841284155
-
- Mental Health Counselor
- Crockett, TX
- NPI 1144631573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1770577876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 MANTOOTH AVE",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043014",
"telephone_number": "936-639-4993",
"fax_number": "936-639-6838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 E HOUSTON AVE",
"city": "CROCKETT",
"state": "TX",
"postal_code": "758351761",
"telephone_number": "936-544-9484",
"fax_number": "936-544-9749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ROSA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "M.ED., LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "13128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crockett, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.