Active NPI
Deanna Nicole Davis, M.A.
- Mental Health Counselor
- Orlando, FL
National Provider Identifier
1972890556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH9114
- Practice address
- 923 Neuse Ave
Orlando, FL 32804-1735 - Phone
- (407) 702-5302
- NPI assigned
- Jul 5, 2011
- Last updated
- Jul 5, 2011
- 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 | IMH9114 | FL | Primary |
Addresses
Primary practice location
923 Neuse Ave
Orlando, FL 32804-1735
Mailing address
923 Neuse Ave
Orlando, FL 32804-1735
Phone (407) 702-5302
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH9114 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309824000000",
"number": "1972890556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "923 NEUSE AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328041735",
"telephone_number": "407-702-5302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "923 NEUSE AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328041735",
"telephone_number": "407-702-5302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DEANNA",
"middle_name": "NICOLE",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-05",
"last_updated": "2011-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH9114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.