Active NPI
Loretta H Davis, LPC, LCAS
- Professional Counselor
- Concord, NC
National Provider Identifier
1982939468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7577
- Practice address
- 284 Executive Park Dr
Ste 100
Concord, NC 28025-1831 - Phone
- (704) 939-1100
- Fax
- (704) 939-1173
- NPI assigned
- Oct 16, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7577 | NC | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1525 | NC |
Addresses
Primary practice location
284 Executive Park Dr
Ste 100
Concord, NC 28025-1831
Mailing address
1000 N 1St St
Suite 1
Albemarle, NC 28001-2833
Phone (704) 983-2117
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982939468 | Other | NC | BCBS |
| 1982939468 | Other | NC | MAGELLAN |
| 1982939468 | Other | NC | UNITED BEHAVIORAL HEALTH |
| 1982939468 | Other | NC | HUMANA |
| 1982939468 | Other | NC | UNITED HEALTHCARE |
| 1982939468 | Medicaid | NC | |
| 1982939468 | Other | NC | OPTUM |
Other names 1
- Lori Davis
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1525 | NC | MD | Marriage & Family Therapist |
| 7577 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1982939468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N 1ST ST",
"address_2": "SUITE 1",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280012833",
"telephone_number": "704-983-2117",
"fax_number": "704-983-2636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "284 EXECUTIVE PARK DR",
"address_2": "STE 100",
"city": "CONCORD",
"state": "NC",
"postal_code": "280251831",
"telephone_number": "704-939-1100",
"fax_number": "704-939-1173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "LORETTA",
"middle_name": "H",
"credential": "LPC, LCAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-16",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "7577",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "1525",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1982939468",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "1982939468",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "1982939468",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "1982939468",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1982939468",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1982939468",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTUM",
"identifier": "1982939468",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LORI",
"last_name": "DAVIS",
"credential": "LPC, LCAS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.