Eugenie Josephine Davidson, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A2210020 Issued in AR

Practice address

2103 S 54TH St Ste 2
Rogers, AR 72758-8126

Phone

(479) 372-7446

Fax

(877) 373-5118

NPI assigned

Nov 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1851009021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 NW C ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125224",
            "telephone_number": "479-644-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 S 54TH ST STE 2",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588126",
            "telephone_number": "479-372-7446",
            "fax_number": "877-373-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "EUGENIE",
        "middle_name": "JOSEPHINE",
        "name_prefix": "Ms.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2210020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.therapynotes.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2103 S 54th St Ste 2",
            "city": "Rogers",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727588126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Darin Bell,Otr, PLLC (Optimal Therapy of NWA)
• David a. Yates & Associates, LLC (JP&O Prosthetic & Orthotic Laboratory)
• David and Deanne Witherspoon, Optometry, P.a.
• Thea David, LAC/LAMFT
• Wendy S. David, M.D.
• Stephanie Lynn Davidson, PT
• Whitney Austin Davidson, M.D.
• Claire Elise Davies
• Tabitha Davies, DO
• Emily Hope Davis, MCD, CF-SLP

• Mental Health Counselor in Rogers, AR
• Providers in Rogers, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.