Active NPI
Mackenzie Ryan Davis, LGPC
- Professional Counselor
- Severna Park, MD
National Provider Identifier
1922840065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 517 Benfield Rd Ste 100
Severna Park, MD 21146-2527 - Phone
- (410) 216-4421
- NPI assigned
- Jun 10, 2024
- Last updated
- Jun 10, 2024
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MD | Primary |
Addresses
Primary practice location
517 Benfield Rd Ste 100
Severna Park, MD 21146-2527
Mailing address
517 Benfield Rd Ste 100
Severna Park, MD 21146-2527
Phone (410) 216-4421
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1922840065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 BENFIELD RD STE 100",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211462527",
"telephone_number": "410-216-4421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 BENFIELD RD STE 100",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211462527",
"telephone_number": "410-216-4421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MACKENZIE",
"middle_name": "RYAN",
"credential": "LGPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-10",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Severna Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.