Individual provider Active NPI

Lindsay Elizabeth Davis, MS, LPC

  • Mental Health Counselor
  • Kirkwood, MO
National Provider Identifier
1962412460
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2004010239 Issued in MO
Practice address
124 N Taylor Ave
Kirkwood, MO 63122-4321
Phone
(314) 306-0748
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2004010239 MO Primary

Addresses

Primary practice location

124 N Taylor Ave
Kirkwood, MO 63122-4321

Mailing address

124 N Taylor Ave
Kirkwood, MO 63122-4321
Phone (314) 306-0748

Other practice location 1

3165 McKelvey Rd
Suite 200
Bridgeton, MO 63044-2550
Phone (314) 206-3421

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)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1962412460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N TAYLOR AVE",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631224321",
            "telephone_number": "314-306-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N TAYLOR AVE",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631224321",
            "telephone_number": "314-306-0748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3165 McKelvey Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Bridgeton",
            "state": "MO",
            "postal_code": "630442550",
            "country_code": "US",
            "telephone_number": "314-206-3421",
            "fax_number": "314-206-3992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LINDSAY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2004010239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.