Active NPI
Sue Ellen Davis, L.P.C.
- Professional Counselor
- Vernon, TX
National Provider Identifier
1821038845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4016
- Practice address
- 1914 Paradise St
Vernon, TX 76384-8111 - Phone
- (940) 553-1631
- Fax
- (940) 553-1631
- NPI assigned
- Jun 7, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 4016 | TX | Primary |
Addresses
Primary practice location
1914 Paradise St
Vernon, TX 76384-8111
Mailing address
1914 Paradise St
Vernon, TX 76384-8111
Phone (940) 553-1631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4062LC | Other | TX | BLUE SHIELD |
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 |
|---|---|---|---|
| 4016 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1821038845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1914 PARADISE ST",
"city": "VERNON",
"state": "TX",
"postal_code": "763848111",
"telephone_number": "940-553-1631",
"fax_number": "940-553-1631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1914 PARADISE ST",
"city": "VERNON",
"state": "TX",
"postal_code": "763848111",
"telephone_number": "940-553-1631",
"fax_number": "940-553-1631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SUE",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "L.P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "4016",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "4062LC",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vernon, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.