Active NPI
Sara Marie Davis, LPCC, LCDCIII
- Mental Health Counselor
- Gahanna, OH
National Provider Identifier
1841789963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.0900258
- Practice address
- 540 Officenter PL Ste 290
Gahanna, OH 43230-5352 - Phone
- (888) 336-1772
- NPI assigned
- May 3, 2018
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E.0900258 | OH | Primary |
Addresses
Primary practice location
540 Officenter PL Ste 290
Gahanna, OH 43230-5352
Mailing address
951 Meadow Downs TRL
Galloway, OH 43119-8031
Phone (260) 849-0474
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 |
|---|---|---|---|
| E.0900258 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525305600000",
"number": "1841789963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "951 MEADOW DOWNS TRL",
"city": "GALLOWAY",
"state": "OH",
"postal_code": "431198031",
"telephone_number": "260-849-0474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 OFFICENTER PL STE 290",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432305352",
"telephone_number": "888-336-1772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SARA",
"middle_name": "MARIE",
"credential": "LPCC, LCDCIII",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-03",
"last_updated": "2018-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.0900258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gahanna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.