Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathryn D Davis, LPC

Individual provider Professional Counselor · NPI 1134628423

Kathryn D Davis, LPC is a Mental Health Counselor in Phoenix, Arizona. Qualified in 2014, 12 years ago. Practices with Sondermind Provider Network LLC, a 1,258-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
12
Licensed in
AZ
In the registry since
2018
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

5060 N 19th Ave Ste 218
Phoenix, AZ 85015-3212
Phone: (602) 750-6043
Fax: (623) 433-0786
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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 LPC-17553 (AZ)

Record details

NPI number1134628423
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedFebruary 1, 2018
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024
Mailing address1413 S 237th Ln, Buckeye, AZ 85326-3616

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Sondermind Provider Network Llc — 1258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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