Javier Davila-Lopez, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

81979 Issued in TX

Practice address

3322 Gibsondell Ave
Dallas, TX 75211-5022

Phone

(405) 821-8890

NPI assigned

Feb 27, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blank Slate TherapyGroup PAC ID 5193069219, 17 clinicians

Practice addresses (Care Compare)

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.

• Blank Slate Therapy

  • Professional Counselor
  • Frisco, TX
  • NPI 1639539364
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1871033746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 GIBSONDELL AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752115022",
            "telephone_number": "405-821-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 GIBSONDELL AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752115022",
            "telephone_number": "405-821-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA-LOPEZ",
        "first_name": "JAVIER",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-27",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "81979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff Davies, DDS
• Jessica Davies, B.S., CNIM
• Jonathan Tokonjay Davies, MS
• Mitsy Davies, FNP
• Ryan R Davies, MD
• Nancy Davila-Slentz, M. ED. LPC
• Domingo Davila
• Holanda Davila, M.D.
• Jannel Alexa Davila, PA-C
• Lesley Megan Davila, MD

• Mental Health Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.