Active NPI
Miriam Davis
- Counselor
- Youngsville, LA
National Provider Identifier
1912431602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 102 Kirkwood LN
Youngsville, LA 70592-5325 - Phone
- (337) 451-0787
- NPI assigned
- Apr 19, 2017
- Last updated
- Jul 6, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 7382 | LA | |
| Counselor | 101Y00000X | 93583 | TX | |
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
102 Kirkwood LN
Youngsville, LA 70592-5325
Mailing address
4400 Ambassador Caffery Pkwy
Ste a PMB #137
Lafayette, LA 70508
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 |
|---|---|---|---|
| 93583 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751760000000",
"number": "1912431602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 AMBASSADOR CAFFERY PKWY",
"address_2": "STE A PMB #137",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "70508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 KIRKWOOD LN",
"city": "YOUNGSVILLE",
"state": "LA",
"postal_code": "705925325",
"telephone_number": "337-451-0787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MIRIAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-19",
"last_updated": "2025-07-06",
"certification_date": "2025-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "LA",
"license": "7382",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "93583",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Youngsville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.