Individual provider Active NPI

Lyndsie Nicole Davis, M.ED., LPC, CAT, NCC

  • Mental Health Counselor
  • Oxford, MS
National Provider Identifier
1942977350
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2705 Issued in MS
Practice address
202 Enterprise Dr
Oxford, MS 38655-2761
Phone
(662) 371-1711
NPI assigned
Aug 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 2705 MS Primary

Addresses

Primary practice location

202 Enterprise Dr
Oxford, MS 38655-2761

Mailing address

110 Peyton CV
Saltillo, MS 38866-9507
Phone (662) 397-7170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
2705MSMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A New Leaf Therapy, PLLC Single Specialty CurrentSince Jul 7, 2024 Accepting new patients

Locations

327 Colorado Ave
Pueblo, CO 81004
Phone (719) 948-7120

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1942977350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PEYTON CV",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388669507",
            "telephone_number": "662-397-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 ENTERPRISE DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386552761",
            "telephone_number": "662-371-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LYNDSIE",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "M.ED., LPC, CAT, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "2705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.