Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dawanda Davis , LPC

Counselor β€’ Harvey, IL

Active NPI 1730739384 Individual Practitioner Female Practitioner
Practice location in NPPES

31 W 155th St
Harvey, IL 604263556

Call 7085965177 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

31 W 155th St

Harvey, IL 604263556

Telephone 7085965177
Organization at the Same NPPES Address or Phone
J And M Pharmacy Inc Facility NPI 1386686970

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Chicago Heights, IL; Frankfort, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Harvey and Illinois

4 active clinicians are listed under Counselor with a practice address in Harvey, IL (3,805 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-07-07
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES IL 178.015202

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
178015202 (IL)

Secondary Practice Locations

9875 W Lincoln Hwy Ste 104

Frankfort, IL 604231934

Phone: 6302812496

222 Vollmer Rd Ste Aa2

Chicago Heights, IL 604111664

Phone: 6302812496

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

32 listed
NPI 1033353792

Doctor of Osteopathic Medicine (D.O.)

NPI 1427076587

Doctor of Osteopathic Medicine (D.O.), Master of Public Health

Jay Bhatt , DOMPH

Internal Medicine

NPI 1639339807
Wyvon Blackwell , MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1821398397

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Shandra Bundy-Smith , DDS

Dentist - General Practice

NPI 1184769739

Doctor of Dental Surgery

Dr. Jerome Buster , DO

Family Medicine

NPI 1861707291

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location June 30, 2020

Registered at 31 W 155TH ST, HARVEY, IL 604263556 (Tel: 7085965177)

πŸ“
Updated Business Mailing Address June 30, 2020

Registered at 31 W 155TH ST, HARVEY, IL 604263556 (Tel: 0859651777)

βœ…
NPI Profile Active September 16, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 16, 2019

Registered at 222 VOLLMER RD STE AA2, CHICAGO HEIGHTS, IL 604111664 (Tel: 6302812496)

πŸ“
Business Mailing Address (Initial Record) September 16, 2019

Registered at 222 VOLLMER RD STE AA2, CHICAGO HEIGHTS, IL 604111664 (Tel: 6302812496)

πŸ‘€
Provider Name / Credentials (Initial Record) September 16, 2019

Recorded as DAWANDA DAVIS, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2019

Counselor (license number reported to NPPES: IL 178.015202)

🟒
Initial NPI Registration & Enumeration September 16, 2019

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1730739384
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 16, 2019
Last Update: July 07, 2021
Sole Proprietor: No

Mailing Address

31 W 155th St

Harvey, IL 604263556

Phone: 0859651777

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.