NPI Code Detail JSON Logo

1518263037 NPI number — PHILLIP LEE DAVIS NCC, LMHC

NPI Number: 1518263037
Health Care Provider/Practitioner: PHILLIP LEE DAVIS NCC, LMHC

Information about “1518263037” NPI (PHILLIP LEE DAVIS NCC, LMHC) exists in 1518263037 in HTML format HTML  |  1518263037 in plain Text format TXT  |  1518263037 in PDF (Portable Document Format) PDF  |  1518263037 in an XML format XML  formats.

NPI Number : 1518263037 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518263037",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DAVIS",
    "FirstName": "PHILLIP",
    "MiddleName": "LEE",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "NCC, LMHC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "18219 150TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DOUDS",
    "MailingAddressStateName": "IA",
    "MailingAddressPostalCode": "52551-8036",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "641-919-3465",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "120 N HIGHWAY 1",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BIRMINGHAM",
    "PracticeLocationAddressStateName": "IA",
    "PracticeLocationAddressPostalCode": "52535-7700",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "641-455-0636",
    "PracticeLocationAddressFaxNumber": "319-498-4246",
    "EnumerationDate": "01/31/2011",
    "LastUpdateDate": "03/17/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "001316",
          "LicenseNumberStateCode": "IA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "00116",
          "LicenseNumberStateCode": "IA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.