Katerra Eileen Davis, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

204319 Issued in TX

Practice address

3838 Oak Lawn Ave Ste 1000
Dallas, TX 75219-4511

Phone

(682) 717-4534

NPI assigned

Jun 7, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, CA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Marriage & Family Therapist, TX

  Medicare reassignment NPD
• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Marriage & Family Therapist

  Medicare reassignment NPD
• Valley Star Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Downey, CA
  • NPI 1396491973
  NPD (past)
• Valley Star Behavioral Health, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Victorville, CA
  • NPI 1902393317
  NPD (past)

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1841649209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79094",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761790094",
            "telephone_number": "682-717-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 OAK LAWN AVE STE 1000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194511",
            "telephone_number": "682-717-4534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8300 Utica Ave Ste 155",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917307605",
            "country_code": "US",
            "telephone_number": "760-705-3733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KATERRA",
        "middle_name": "EILEEN",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "113117",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "204319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Francis Davis, M.D.
• Jorian D Davis
• Kara Davis, RD, CSG, LD
• Kara Davis, C.P.O., L.P.O.
• Kasey Davis
• Kathryn Davis, PA-C
• Kelley Michelle Davis, D.O.
• Kimberly Ann Davis, SLP
• Kristin Davis, PT
• Lance Edwin Davis, M.D.

• Marriage & Family Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.