Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Brian Earl Davis, MDIV, PHD

Individual provider Professional Counselor · NPI 1760568620

Dr. Brian Earl Davis, MDIV, PHD is a Mental Health Counselor in Albuquerque, New Mexico. Qualified in 1989, 37 years ago. Practices with Formation Counseling Services Inc, a 15-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Mexico.

Years since qualifying
37
Licensed in
NM
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

8600 Academy Rd NE
Albuquerque, NM 87111-1107
Phone: (505) 821-3628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence CCMH0150051 (NM)

Record details

NPI number1760568620
Entity typeIndividual (Type 1)
GenderMale
Credentials MDIV , PHD
Sole proprietorNo
NPI enumeratedOctober 31, 2006
Last updated in NPPESSeptember 28, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Formation Counseling Services Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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