Active NPI
Kirsten Davis, LAC
- Counselor
- North Little Rock, AR
National Provider Identifier
1912422361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- A2104003
- Practice address
- 513 Main St
North Little Rock, AR 72114-5329 - Phone
- (501) 777-5969
- NPI assigned
- Aug 7, 2017
- Last updated
- May 7, 2021
- 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 | A2104003 | AR | Primary |
Addresses
Primary practice location
513 Main St
North Little Rock, AR 72114-5329
Mailing address
513 Main St
North Little Rock, AR 72114-5329
Phone (501) 777-5969
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 |
|---|---|---|---|
| A2104003 | AR | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McCoy Counseling LLC | Counselor | Current | Accepting new patients |
| Mental Wellness Connection | Current | Accepting new patients | |
| Counseling Associates, Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Bentonville, AR
- NPI 1740089929
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Conway, AR
- NPI 1326290610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620345600000",
"number": "1912422361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 MAIN ST",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721145329",
"telephone_number": "501-777-5969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 MAIN ST",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721145329",
"telephone_number": "501-777-5969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KIRSTEN",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-07",
"last_updated": "2021-05-07",
"certification_date": "2021-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AR",
"license": "A2104003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.