Active NPI
Brenda Jackson Davis, LPC
- Professional Counselor
- Wilmington, NC
National Provider Identifier
1780852350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3184
- Practice address
- 1125 Arboretum Drive
Wilmington, NC 28405 - Phone
- (910) 232-2222
- Fax
- (910) 256-1020
- NPI assigned
- Feb 15, 2008
- 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 | 3184 | NC | Primary |
Addresses
Primary practice location
1125 Arboretum Drive
Wilmington, NC 28405
Mailing address
1125 Arboretum Drive
Wilmington, NC 28405
Phone (910) 232-2222
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3184 | NC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203033600000",
"number": "1780852350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 ARBORETUM DRIVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28405",
"telephone_number": "910-232-2222",
"fax_number": "910-256-1020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 ARBORETUM DRIVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28405",
"telephone_number": "910-232-2222",
"fax_number": "910-256-1020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "BRENDA",
"middle_name": "JACKSON",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-15",
"last_updated": "2008-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "3184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.