Individual provider Active NPI

Ashlee Nichole Davis, LPC

  • Professional Counselor
  • Jonesboro, AR
National Provider Identifier
1891071452
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P1903029 Issued in AR
Practice address
820 E Matthews Ave Ste F
Jonesboro, AR 72401-3081
Phone
(870) 202-9851
Fax
(501) 500-5854
NPI assigned
Oct 27, 2011
Last updated
May 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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 P1903029 AR Primary

Addresses

Primary practice location

820 E Matthews Ave Ste F
Jonesboro, AR 72401-3081

Mailing address

519 Ruff Ferry Rd
Maynard, AR 72444-9691
Phone (870) 202-0981

Other practice location 1

1905 Chateau Blvd
Paragould, AR 72450-6279
Phone (870) 236-2265

Other names 1

  • Ashlee Nichole Pearson Other name

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

LicenseStateTypeSpecialty
P1903029ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Counseling Health and Wellness, LLC Current Accepting new patients
Integrity Counseling CurrentSince May 7, 2024 Accepting new patients
Karen Hall, LCSW, PA Past Accepting new patients
TDS Psychiatric Services L.L.C. PastSince Sep 12, 2018 Accepting new patients

Locations

2210 Fowler Ave
Jonesboro, AR 72401
Phone (870) 202-9851

820 E Matthews Ave
Ste F
Jonesboro, AR 72401
Phone (870) 202-9851

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1891071452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 RUFF FERRY RD",
            "city": "MAYNARD",
            "state": "AR",
            "postal_code": "724449691",
            "telephone_number": "870-202-0981",
            "fax_number": "501-500-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E MATTHEWS AVE STE F",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013081",
            "telephone_number": "870-202-9851",
            "fax_number": "501-500-5854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 Chateau Blvd",
            "address_purpose": "LOCATION",
            "city": "Paragould",
            "state": "AR",
            "postal_code": "724506279",
            "country_code": "US",
            "telephone_number": "870-236-2265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ASHLEE",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1903029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEE",
            "last_name": "PEARSON",
            "middle_name": "NICHOLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.