Active NPI
Donald Berkeley Davis Jr., MA, LPC
- Professional Counselor
- Sheridan, CO
National Provider Identifier
1780217000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0017563
- Practice address
- 3460 S Federal Blvd
Sheridan, CO 80110-1967 - Phone
- (303) 761-0200
- NPI assigned
- Feb 14, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC.0017563 | CO | Primary |
| Mental Health Counselor | 101YM0800X | LPCC.0016610 | CO |
Addresses
Primary practice location
3460 S Federal Blvd
Sheridan, CO 80110-1967
Mailing address
PO Box 919
Aurora, CO 80040-0919
Phone (303) 761-0200
Other practice location 1
1881 S Monroe St
Denver, CO 80210-3730
Phone (719) 360-8947
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC.0016610 | CO | MD | Mental Health Counselor |
| LPC.0017563 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632614400000",
"number": "1780217000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 919",
"city": "AURORA",
"state": "CO",
"postal_code": "800400919",
"telephone_number": "303-761-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3460 S FEDERAL BLVD",
"city": "SHERIDAN",
"state": "CO",
"postal_code": "801101967",
"telephone_number": "303-761-0200"
}
],
"practiceLocations": [
{
"address_1": "1881 S Monroe St",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802103730",
"country_code": "US",
"telephone_number": "719-360-8947",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "DONALD",
"middle_name": "BERKELEY",
"name_suffix": "Jr.",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-14",
"last_updated": "2021-09-26",
"certification_date": "2021-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0017563",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPCC.0016610",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheridan, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.