Individual provider Active NPI

Priscilla D Davis, LPC-S, TF-CBT

  • Mental Health Counselor
  • Houston, TX
National Provider Identifier
1821574583
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
75088 Issued in TX
Practice address
2000 Crawford St Ste 871
Houston, TX 77002-2244
Phone
(281) 299-7070
Fax
(281) 377-7848
NPI assigned
Jul 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 75088 TX
Professional Counselor 101YP2500X 75088 TX
Mental Health Counselor 101YM0800X 75088 TX Primary

Addresses

Primary practice location

2000 Crawford St Ste 871
Houston, TX 77002-2244

Mailing address

1500 Hadley St Unit 962
Houston, TX 77001-4236
Phone (281) 299-7070

Other identifiers 1

IdentifierTypeStateIssuer
387196401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20240803000295 TX Practitioner - Mental Health Counselor 8628515061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
75088TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1821574583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 HADLEY ST UNIT 962",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770014236",
            "telephone_number": "281-299-7070",
            "fax_number": "281-377-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CRAWFORD ST STE 871",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770022244",
            "telephone_number": "281-299-7070",
            "fax_number": "281-377-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "PRISCILLA",
        "middle_name": "D",
        "credential": "LPC-S, TF-CBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "75088",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75088",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "75088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "387196401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.