Active NPI
Nicole Davis
- Counselor
- Cherry Hill, NJ
National Provider Identifier
1891500633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 37AC00624900
- Practice address
- 1236 Brace Rd Ste Ki
Cherry Hill, NJ 08034-3229 - Phone
- (856) 433-8615
- NPI assigned
- Feb 10, 2025
- 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 | 37AC00624900 | NJ | Primary |
Addresses
Primary practice location
1236 Brace Rd Ste Ki
Cherry Hill, NJ 08034-3229
Mailing address
505 Monroe St
Riverside, NJ 08075-3013
Phone (609) 923-7685
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 |
|---|---|---|---|
| 37AC00624900 | NJ | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Brighter Tomorrow Wellness Center | Current | Accepting new patients |
Locations
1236 Brace Rd
Ste Ki
Cherry Hill, NJ 08034
Phone (856) 433-8615
Organizations & group practices 1
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.
-
- Social Worker
- Voorhees, NJ
- NPI 1295365765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1891500633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 MONROE ST",
"city": "RIVERSIDE",
"state": "NJ",
"postal_code": "080753013",
"telephone_number": "609-923-7685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1236 BRACE RD STE KI",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080343229",
"telephone_number": "856-433-8615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-10",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": "37AC00624900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.