Mary Joe Davis, M.A., L.P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

130 Jessie St
Ellwood City, PA 16117-5408

Phone

(724) 758-5617

NPI assigned

Mar 19, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1972845873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 JESSIE ST",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161175408",
            "telephone_number": "724-758-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 JESSIE ST",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161175408",
            "telephone_number": "724-758-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARY",
        "middle_name": "JOE",
        "name_prefix": "Ms.",
        "credential": "M.A., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Leigh Clyde, MPT
• Anthony Baron Colangelo, M.D.
• Cassandra Cook
• Kala Cunningham, MA, LPC
• Kelley M Davis, BSAT, ATC
• Megan Lee Davis, MA, CCC-SLP
• Sharon R Dawso, M.D.
• Tyler Dean, OD
• Mark William Deitrick, LPC
• Walter Dale Dickson, DPM

• Mental Health Counselor in Ellwood City, PA
• Providers in Ellwood City, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.