Active NPI
Lillian M Davis, MA, LPC
- Mental Health Counselor
- Springfield, MO
National Provider Identifier
1922500735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 201-300-5501
- Practice address
- 1736 E Sunshine St
Springfield, MO 65804-1343 - Phone
- (417) 414-0405
- NPI assigned
- Mar 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 201-300-5501 | MO | Primary |
Addresses
Primary practice location
1736 E Sunshine St
Springfield, MO 65804-1343
Mailing address
1125 E Charles St
Republic, MO 65738-2616
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201-300-5501 | MO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520380800000",
"number": "1922500735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 E CHARLES ST",
"city": "REPUBLIC",
"state": "MO",
"postal_code": "657382616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1736 E SUNSHINE ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658041343",
"telephone_number": "417-414-0405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "LILLIAN",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-07",
"last_updated": "2018-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "201-300-5501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.