Individual provider Active NPI

Sandra Ann Davis, LPC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1851619308
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2007002474 Issued in MO
Practice address
5000 Cedar Plaza Pkwy Ste 180
Saint Louis, MO 63128-3854
Phone
(636) 232-0340
Fax
(636) 600-8714
NPI assigned
May 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2007002474 MO Primary

Addresses

Primary practice location

5000 Cedar Plaza Pkwy Ste 180
Saint Louis, MO 63128-3854

Mailing address

5000 Cedar Plaza Pkwy Ste 180
Saint Louis, MO 63128-3854
Phone (362) 320-3406

Other names 1

  • Sandy Davis Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20240327002147 MO Practitioner - Mental Health Counselor 2961849823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5000 Cedar Plaza Pkwy
Suite 180
Saint Louis, MO 63128-3854
Phone (636) 232-0340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2007002474MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sandydavislpc LLC CurrentSince Jan 22, 2024 Accepting new patients
Little Hills Healthcare, LLC PastSince Jan 22, 2024 Accepting new patients

Locations

5000 Cedar Plaza Pkwy
Ste 180
Saint Louis, MO 63128
Phone (314) 842-5910

13023 Tesson Ferry Rd
Ste 103
Saint Louis, MO 63128
Phone (314) 849-3711

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1851619308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CEDAR PLAZA PKWY STE 180",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283854",
            "telephone_number": "362-320-3406",
            "fax_number": "636-600-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 CEDAR PLAZA PKWY STE 180",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283854",
            "telephone_number": "636-232-0340",
            "fax_number": "636-600-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SANDRA",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-07",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2007002474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDY",
            "last_name": "DAVIS",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.