Individual provider Active NPI

Katherine Verline Davis, MA, LPC

  • Professional Counselor
  • Casper, WY
National Provider Identifier
1962644427
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1064 Issued in WY
Practice address
800 Werner Court, Suite 305
K V Davis Counseling LLC
Casper, WY 82601-1321
Phone
(307) 337-4673
Fax
(307) 337-4674
NPI assigned
Mar 30, 2009
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1064 WY
Mental Health Counselor 101YM0800X LPC-1064 WY
Professional Counselor 101YP2500X 1064 WY Primary

Addresses

Primary practice location

800 Werner Court, Suite 305
K V Davis Counseling LLC
Casper, WY 82601-1321

Mailing address

800 Werner Court, Suite 305
K V Davis Counseling LLC
Casper, WY 82601-1321
Phone (307) 337-4673

Other identifiers 1

IdentifierTypeStateIssuer
1343422400MedicaidWY

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC-1064WYMDMental Health Counselor
1064WYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1962644427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WERNER COURT, SUITE 305",
            "address_2": "K V DAVIS COUNSELING LLC",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011321",
            "telephone_number": "307-337-4673",
            "fax_number": "307-337-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WERNER COURT, SUITE 305",
            "address_2": "K V DAVIS COUNSELING LLC",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011321",
            "telephone_number": "307-337-4673",
            "fax_number": "307-337-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KATHERINE",
        "middle_name": "VERLINE",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-30",
        "last_updated": "2024-09-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": "1064",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "LPC-1064",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "1064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1343422400",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.