Individual provider Active NPI

Yonette Symone Davison-Wolfe, LPC

  • Professional Counselor
  • Crofton, MD
National Provider Identifier
1780472563
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2840 Issued in LA
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

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251212002021 NV Practitioner - Mental Health Counselor 7911491311 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
2840LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Diana Wright, Psy.D., LLC Professional CurrentSince Sep 21, 2025 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

Verify at the official NPI Registry.