Jewel Dawn Davies, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

10537 S Roberts Rd
Palos Hills, IL 60465-1933

Phone

(708) 974-5114

Fax

(708) 974-2498

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952448177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 W GORDON TER",
            "address_2": "UNIT 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132270",
            "telephone_number": "773-975-0477",
            "fax_number": "708-974-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10537 S ROBERTS RD",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651933",
            "telephone_number": "708-974-5114",
            "fax_number": "708-974-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "JEWEL",
        "middle_name": "DAWN",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cuttings Edge Medical Transit, Inc.
• Dale F Rodriquez DDS
• Daniel J. Hirsen, M.D.,LLC
• Tiffany Daniels
• Alwin David, MD
• Geoffrey S Davis, ATC
• Starr Day
• Daniel Addison De Biasio, D.C.
• Tracy L Debose, LCSW
• Robert Joseph Demkovich, D.D.S.

• Mental Health Counselor in Palos Hills, IL
• Providers in Palos Hills, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.