Active NPI
Diana Lynn Davis, LPC
- Counselor
- Clarksville, AR
National Provider Identifier
1871622506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- P9407018
- Practice address
- 1151 S Rogers St
Suite 7 & 8
Clarksville, AR 72830-9158 - Phone
- (479) 754-5511
- Fax
- (479) 754-5545
- NPI assigned
- Mar 6, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | P9407018 | AR | Primary |
Addresses
Primary practice location
1151 S Rogers St
Suite 7 & 8
Clarksville, AR 72830-9158
Mailing address
2036 Skyline Dr
Russellville, AR 72802-8611
Phone (479) 968-7998
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 |
|---|---|---|---|
| P9407018 | AR | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871622506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2036 SKYLINE DR",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728028611",
"telephone_number": "479-968-7998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 S ROGERS ST",
"address_2": "SUITE 7 & 8",
"city": "CLARKSVILLE",
"state": "AR",
"postal_code": "728309158",
"telephone_number": "479-754-5511",
"fax_number": "479-754-5545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DIANA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AR",
"license": "P9407018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.