Active NPI
Yonette Symone Davison-Wolfe, LPC
- Professional Counselor
- Crofton, MD
National Provider Identifier
1780472563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2840
- Practice address
- 2539 Windy Oak CT
Crofton, MD 21114-1183 - Phone
- (410) 793-3763
- NPI assigned
- Apr 30, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2840 | LA | Primary |
Addresses
Primary practice location
2539 Windy Oak CT
Crofton, MD 21114-1183
Mailing address
2539 Windy Oak CT
Crofton, MD 21114-1183
Phone (410) 793-3763
Other names 1
- Mrs. Yonette Symone Davison
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1995
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4600 Kietzke LN
Reno, NV 89502-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2840 | LA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diana Wright, Psy.D., LLC | Professional | Current | Accepting new patients |
Locations
4600 Kietzke Ln
Ste N250
Reno, NV 89502
Phone (775) 500-0396
Organizations & group practices 1
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": "1745971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1780472563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2539 WINDY OAK CT",
"city": "CROFTON",
"state": "MD",
"postal_code": "211141183",
"telephone_number": "410-793-3763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2539 WINDY OAK CT",
"city": "CROFTON",
"state": "MD",
"postal_code": "211141183",
"telephone_number": "410-793-3763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVISON-WOLFE",
"first_name": "YONETTE",
"middle_name": "SYMONE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-30",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "2840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YONETTE",
"last_name": "DAVISON",
"middle_name": "SYMONE",
"prefix": "MRS.",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Crofton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.