Individual provider Active NPI

Erika Davis

  • Marriage & Family Therapist
  • Altus, OK
National Provider Identifier
1821407727
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1260 Issued in OK
Practice address
118 N Main St
Altus, OK 73521-3102
Phone
(580) 699-6122
NPI assigned
Aug 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1260 OK Primary

Addresses

Primary practice location

118 N Main St
Altus, OK 73521-3102

Mailing address

1105 S. Park LN.
Altus, OK 73521
Phone (580) 699-6122

Other practice location 1

201 E Main St Ste C
Cushing, OK 74023-2607
Phone (918) 225-0540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 12, 2025 through Dec 12, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1260OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
C. Alan Bentley Counseling LLC Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1821407727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 S. PARK LN.",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "73521",
            "telephone_number": "580-699-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N MAIN ST",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735213102",
            "telephone_number": "580-699-6122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 E Main St Ste C",
            "address_purpose": "LOCATION",
            "city": "Cushing",
            "state": "OK",
            "postal_code": "740232607",
            "country_code": "US",
            "telephone_number": "918-225-0540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ERIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "1260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altus, OK

Sources for this page

Verify at the official NPI Registry.