Active NPI
Lauren Eve Desilva
- Mental Health Counselor
- Davis, CA
National Provider Identifier
1780912535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2640 Portage Bay E
#24
Davis, CA 95616-3074 - Phone
- (949) 547-2442
- NPI assigned
- Dec 4, 2009
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2640 Portage Bay E
#24
Davis, CA 95616-3074
Mailing address
2640 Portage Bay E
#24
Davis, CA 95616-3074
Phone (949) 547-2442
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29858 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259884800000",
"number": "1780912535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2640 PORTAGE BAY E",
"address_2": "#24",
"city": "DAVIS",
"state": "CA",
"postal_code": "956163074",
"telephone_number": "949-547-2442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2640 PORTAGE BAY E",
"address_2": "#24",
"city": "DAVIS",
"state": "CA",
"postal_code": "956163074",
"telephone_number": "949-547-2442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESILVA",
"first_name": "LAUREN",
"middle_name": "EVE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-04",
"last_updated": "2009-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.