Individual provider Active NPI

Katie Renee Davin, LCMHCA

  • Mental Health Counselor
  • Winston Salem, NC
National Provider Identifier
1902439383
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A15453 Issued in NC
Practice address
939 Burke St Ste F
Winston Salem, NC 27101-2575
Phone
(336) 607-5822
NPI assigned
Feb 13, 2020
Last updated
Feb 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A15453 NC Primary

Addresses

Primary practice location

939 Burke St Ste F
Winston Salem, NC 27101-2575

Mailing address

5022 Hilltop Rd Apt R
Greensboro, NC 27407-5245

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
A15453NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
B Balanced Counseling & Wellness, PLLC Mental Health CurrentSince Feb 16, 2020 Accepting new patients
Salem Counseling Center, PLLC Mental Health Past Accepting new patients

Locations

939 Burke St
Ste F
Winston Salem, NC 27101
Phone (336) 607-5822

Organizations & group practices 2

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": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1902439383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5022 HILLTOP RD APT R",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274075245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 BURKE ST STE F",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012575",
            "telephone_number": "336-607-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIN",
        "first_name": "KATIE",
        "middle_name": "RENEE",
        "name_prefix": "Miss",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.