Active NPI
Brittanee' R Davis
- Professional Counselor
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 81738
- Practice address
- 6100 Western PL Ste 908
Fort Worth, TX 76107-4600 - Phone
- (817) 751-7802
- Fax
- (847) 859-5885
- NPI assigned
- Apr 17, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6709 | LA | |
| Social Worker | 104100000X | 12167 | LA | |
| Professional Counselor | 101YP2500X | 81738 | TX | Primary |
Addresses
Primary practice location
6100 Western PL Ste 908
Fort Worth, TX 76107-4600
Mailing address
261 Easy St
Franklin, LA 70538-3338
Phone (337) 578-2293
Other practice location 1
261 Easy St
Franklin, LA 70538-3338
Phone (337) 852-4688
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6709 | LA | MD | Mental Health Counselor |
| 81738 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PHC of Buffalo Grove Clinical Psychology | Current | Accepting new patients | |
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
| Purpose Place Counseling and Consulting, LLC | Professional | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
175 E Hawthorne Pkwy
Ste 235
Vernon Hills, IL 60061
Phone (847) 865-4125
6100 Western Pl
Ste 908
Fort Worth, TX 76107
Phone (817) 751-7802
700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391
Organizations & group practices 3
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.
-
- Professional Counselor
- Franklin, LA
- NPI 1801556261
-
- Psychologist
- Vernon Hills, IL
- NPI 1235430612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1851745772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "261 EASY ST",
"city": "FRANKLIN",
"state": "LA",
"postal_code": "705383338",
"telephone_number": "337-578-2293",
"fax_number": "337-703-0524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 WESTERN PL STE 908",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761074600",
"telephone_number": "817-751-7802",
"fax_number": "847-859-5885"
}
],
"practiceLocations": [
{
"address_1": "261 Easy St",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "LA",
"postal_code": "705383338",
"country_code": "US",
"telephone_number": "337-852-4688",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "BRITTANEE'",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-17",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "6709",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "12167",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "81738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.