Victoria Jean Davenport, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

BBH-LCPC-LIC-27110 Issued in MT

Practice address

1601 2ND Ave N Ste 400
Great Falls, MT 59401-3276

Phone

(406) 590-5963

Fax

(406) 727-7451

NPI assigned

Dec 8, 2017

Sex

Female

Sole proprietor

Yes

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

Enrolled in MT

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Enlightening Minds, LLC

  • Mental Health Counselor
  • Great Falls, MT
  • NPI 1689225963
  NPD Authorized official
• The Gyst House

  • Substance Abuse Rehabilitation Facility
  • Great Falls, MT
  • NPI 1518654516
  NPD Authorized official
• The Gyst House 2

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Great Falls, MT
  • NPI 1770319618
  NPD Authorized official

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1972018216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4617 DIANA DR",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594053807",
            "telephone_number": "406-590-5963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 2ND AVE N STE 400",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013276",
            "telephone_number": "406-590-5963",
            "fax_number": "406-727-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "VICTORIA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-08",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-LCPC-LIC-27110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darkness Rise Recovery LLC
• Geri Lynne Darko, M.ED.
• Gabriella Seraphina Darrow, RD, LN
• Nichole Arden Davalos
• Margaret Janelle Davenport
• David R Neil DDS PC
• Jensa Rae Davidson, LAC
• Breanne Davis
• Samantha Davison
• Zackery Davison, CRNA

• Mental Health Counselor in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Mental Health Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.