JESSICA DAVIDSON MA LPC ATR NPI 1053766980

NPI Information

  • NPI: 1053766980
  • Provider Name: JESSICA DAVIDSON, MA, LPC, ATR
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 14426 S OUTER 40 RD
    TOWN AND COUNTRY, MO
    ZIP 63017
  • Phone: (636) 224-1300

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NPI Details

Jessica Davidson, MA, LPC, ATR is a professional counselor in Town And Country, MO. Jessica Davidson, MA, LPC, ATR NPI is 1053766980. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14426 S OUTER 40 RD
TOWN AND COUNTRY, MO
ZIP 63017-711
Phone: (636) 224-1300

The enumeration date for this NPI number is 4/28/2016 and was last updated on 11/19/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional180008597ILLINOISNo
2101YP2500XCounselorProfessional2008027607MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
113545669OTHERCAQH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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