Active NPI
Barbara M Davis, LAC
- School Counselor
- Phoenix, AZ
National Provider Identifier
1801012430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- LAC-1619
- Practice address
- 3333 W Roosevelt St
Phoenix, AZ 85009-3403 - Phone
- (602) 764-3000
- NPI assigned
- Apr 18, 2007
- 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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | LAC-1619 | AZ | Primary |
Addresses
Primary practice location
3333 W Roosevelt St
Phoenix, AZ 85009-3403
Mailing address
3333 W Roosevelt St
Phoenix, AZ 85009-3403
Phone (602) 764-3045
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 824252 | Medicaid | AZ |
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 |
|---|---|---|---|
| LAC-1619 | AZ | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251331200000",
"number": "1801012430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 W ROOSEVELT ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850093403",
"telephone_number": "602-764-3045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 W ROOSEVELT ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850093403",
"telephone_number": "602-764-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "BARBARA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2009-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "AZ",
"license": "LAC-1619",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "824252",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.