Andrei Vaughn Davis, M.S.ED

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

014757-01 Issued in NY

Practice address

60 Academy Rd
Albany, NY 12208-3103

Phone

(518) 265-3153

NPI assigned

Mar 31, 2022

Sex

Male

Sole proprietor

Yes

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 NY

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, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Parsons Child and Family Center

  • Custodial Care Facility
  • Albany, NY
  • NPI 1922171305
  Medicare reassignment

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1891435343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 ACADEMY RD BLDG C",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083198",
            "telephone_number": "518-265-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 ACADEMY RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083103",
            "telephone_number": "518-265-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANDREI",
        "middle_name": "VAUGHN",
        "credential": "M.S.ED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-31",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "014757-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Ann Davies, PH.D.
• Leigh Davies, LMFT, LCAT, ATR-BC
• Mekenzie R Davies
• Britney Gloria Davila, LMSW
• Laura Kim Davila, LMSW
• April Davis
• Arianne Davis, PT, DPT
• Carrie Davis, RN
• Collin Stephen Davis, MD
• Donnetta Davis

• Mental Health Counselor in Albany, NY
• Providers in Albany, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.
• 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.