Individual provider Active NPI

Amber L. Davis, LPC

  • Professional Counselor
  • Philadelphia, PA
National Provider Identifier
1962279562
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC016517 Issued in PA
Practice address
2801 Grant Ave
Philadelphia, PA 19114-1032
Phone
(215) 878-3400
Fax
(267) 878-2082
NPI assigned
Dec 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC-0011584 DE
Professional Counselor 101YP2500X PC016517 PA Primary

Addresses

Primary practice location

2801 Grant Ave
Philadelphia, PA 19114-1032

Mailing address

2801 Grant Ave
Philadelphia, PA 19114-1032
Phone (215) 878-3400

Other practice location 1

4601 Market St
Philadelphia, PA 19139-4636
Phone (215) 878-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240607001836 DE Practitioner - Mental Health Counselor 8022550896 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC-0011584DEMDMental Health Counselor
PC016517PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Survivors of Abuse in Recovery, Inc. Mental Health CurrentSince Apr 28, 2024 Accepting new patients

Locations

405 Foulk Rd
Wilmington, DE 19803
Phone (302) 655-1100

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": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1962279562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 GRANT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141032",
            "telephone_number": "215-878-3400",
            "fax_number": "267-878-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 GRANT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141032",
            "telephone_number": "215-878-3400",
            "fax_number": "267-878-2082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4601 Market St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191394636",
            "country_code": "US",
            "telephone_number": "215-878-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AMBER",
        "middle_name": "L.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-05",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC-0011584",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC016517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.