Henri R Davis, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC3895 Issued in MD

Practice address

10903 Indian Head Hwy
Ste. 503
Fort Washington, MD 20744-4000

Phone

(301) 292-3994

Fax

(301) 292-4928

NPI assigned

Mar 7, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Henri R Jordan Former name

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pbc.henridavis@140094.advancedmd-direct.com

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.

• Thrive Counseling LLC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1790083285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10903 INDIAN HEAD HWY",
            "address_2": "STE. 503",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207444000",
            "telephone_number": "301-292-3994",
            "fax_number": "301-292-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10903 INDIAN HEAD HWY",
            "address_2": "STE. 503",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207444000",
            "telephone_number": "301-292-3994",
            "fax_number": "301-292-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "HENRI",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HENRI",
            "last_name": "JORDAN",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sheryl Daniel
• Dominique A Davenport
• Isaacba Davies-Clark, LPC
• Ethel Davis, RBT
• Giana M. Davis, LCSW, LCSW-C, LICSW
• Nicholas Alfred Davis, RPH
• Ronda Davis
• Elias G Debbas, MD
• Shirlee Degraphenreid
• Dental Professionals of Maryland, Charles Foer, PC

• Professional Counselor in Fort Washington, MD
• Providers in Fort Washington, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.