Active NPI
Patricia Simpson Davis, LPC
- Mental Health Counselor
- El Campo, TX
National Provider Identifier
1962514364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12412
- Practice address
- 317 W Calhoun St
El Campo, TX 77437-4211 - Phone
- (979) 543-4600
- Fax
- (979) 543-5269
- NPI assigned
- Aug 31, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 12412 | TX | Primary |
Addresses
Primary practice location
317 W Calhoun St
El Campo, TX 77437-4211
Mailing address
317 E Calhoun
El Campo, TX 77437
Phone (979) 543-4600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2967LC | Other | TX | BLUE CROSS BLUE SHIELD |
| 155459 | Other | TX | VALUE OPTIONS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12412 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patricia Simpson Davis, PLLC | Mental Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- El Campo, TX
- NPI 1881840700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1962514364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 E CALHOUN",
"city": "EL CAMPO",
"state": "TX",
"postal_code": "77437",
"telephone_number": "979-543-4600",
"fax_number": "979-543-5269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 W CALHOUN ST",
"city": "EL CAMPO",
"state": "TX",
"postal_code": "774374211",
"telephone_number": "979-543-4600",
"fax_number": "979-543-5269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "PATRICIA",
"middle_name": "SIMPSON",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "12412",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "2967LC",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "155459",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Campo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.