Valencia Juanita Sanders-Davis, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9440 Issued in NC

Practice address

204 Kelly PL
High Point, NC 27262-2609

Phone

(336) 812-9733

Fax

(336) 812-9374

NPI assigned

Nov 29, 2012

Last updated

Nov 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thriveworks Clinical - North Carolina PCGroup PAC ID 8527471200, 109 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Thriveworks Clinical - North Carolina PC

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1003303082
  Medicare reassignment Care Compare group NPD
• Mind & Mane LLC

  • Community/Behavioral Health Agency
  • Wake Forest, NC
  • NPI 1578298774

  Mental Health

  Medicare reassignment NPD
• Blossom Counseling Center PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Leland, NC
  • NPI 1942922828
  NPD Authorized official
• Assistedcare, Inc

  • Home Health Agency
  • Leland, NC
  • NPI 1821193103
  NPD (past)
• Carter Clinic PA

  • Psychiatry Physician
  • Wilmington, NC
  • NPI 1972990877
  NPD (past)
• Carter Clinic, P.a.

  • Psychiatry Physician
  • Wilson, NC
  • NPI 1588211049
  NPD (past)
• Carter Clinic, P.a.

  • Psychiatry Physician
  • Kinston, NC
  • NPI 1982298261
  NPD (past)
• Carter Clinic, PA

  • Psychiatry Physician
  • Dunn, NC
  • NPI 1215461231
  NPD (past)

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1912242173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 LANTERNS LN",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284519381",
            "telephone_number": "910-442-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 KELLY PL",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272622609",
            "telephone_number": "336-812-9733",
            "fax_number": "336-812-9374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3408 Wilshire Blvd",
            "address_2": "suite 100",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284034339",
            "country_code": "US",
            "telephone_number": "910-763-9933",
            "fax_number": "910-763-9910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS-DAVIS",
        "first_name": "VALENCIA",
        "middle_name": "JUANITA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-29",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "265080",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2190A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "9440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Austin Samuel, D.D.S.
• Michael David Samuel, D.D.S.
• Carl Samuels, CADC
• Fernando Alberto Sanchez-Brugal, MD
• Daniel L Sander, PHD, LPC, CTRS
• George H.S. Sanders, MD
• Zachary Sanders
• Sandhills Pediatrics (High Point Pediatrics)
• Mary T. Sansing, MD
• Melissa Santolla, PT, DPT

• Mental Health Counselor in High Point, NC
• Providers in High Point, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.