Individual provider Active NPI

Daniel Davila II, LPC

  • Mental Health Counselor
  • Corpus Christi, TX
National Provider Identifier
1780151050
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
67773 Issued in TX
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

Updated by the provider on Oct 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240305001866 TX Practitioner - Mental Health Counselor 3577908110 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nueces County Mental Health & Mental Retardation Community Ctr. Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Nueces County Mental Health & Mental Retardation Community Ctr CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.