Active NPI
Daniel Davila II, LPC
- Mental Health Counselor
- Corpus Christi, TX
National Provider Identifier
1780151050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 67773
- Practice address
- 1630 S Brownlee Blvd
Corpus Christi, TX 78404-3134 - Phone
- (361) 886-1065
- Fax
- (361) 886-6917
- NPI assigned
- Oct 25, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 67773 | TX | Primary |
Addresses
Primary practice location
1630 S Brownlee Blvd
Corpus Christi, TX 78404-3134
Mailing address
8002 Osprey St
Corpus Christi, TX 78414-2742
Phone (361) 548-7063
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nueces County Mental Health & Mental Retardation Community Ctr. | Mental Health | Current | Accepting new patients |
| Nueces County Mental Health & Mental Retardation Community Ctr | Current | Accepting new patients |
Locations
1630 S Brownlee Blvd
Corpus Christi, TX 78404
Phone (361) 980-9652
1546 S Brownlee Blvd
Corpus Christi, TX 78404
Phone (361) 886-6970
3733 S Port Ave
Corpus Christi, TX 78415
Phone (361) 886-4628
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.
-
- Psychiatry Physician
- Corpus Christi, TX
- NPI 1255357828
-
- Mental Health Counselor
- Corpus Christi, TX
- NPI 1467463042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540425600000",
"number": "1780151050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8002 OSPREY ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784142742",
"telephone_number": "361-548-7063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 S BROWNLEE BLVD",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784043134",
"telephone_number": "361-886-1065",
"fax_number": "361-886-6917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVILA",
"first_name": "DANIEL",
"name_suffix": "II",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-25",
"last_updated": "2018-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "67773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.