Active NPI 1508663238 Individual Practitioner Male Practitioner

Kevin Edward Davis , LAC

Counselor - Professional • Evesham, NJ

Professional Overview & Biography Verified Profile Summary

Kevin Davis, LAC is a registered healthcare professional specializing in Counselor - Professional in Evesham, NJ. Practice services are available at 750 NJ-73 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

750 Nj-73
Suite 210

Evesham, NJ 08053

Telephone 8563991010

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Evesham, NJ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 5.0 Yrs

State Avg: 15.9 Yrs

Regional Practice Density

2 Specialists

Practicing in Evesham, NJ (4170 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-26

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License NJ 37AC00825900

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners

Kelly Golden , MSN, APN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1154196194

Master of Science in Nursing, Advanced Practice Nurse, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Victoria Cocozza

Nurse Practitioner - Psychiatric/Mental Health

NPI 1205781986

Dana Sullivan , APN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1245998053

Advanced Practice Nurse

Croy Laughlin

Counselor - Professional

NPI 1306419130

Jane Stiuv-Baumbach

Counselor - Addiction (Substance Use Disorder)

NPI 1326444506

Joanne Mathews

Psychiatry & Neurology - Psychiatry

NPI 1336318708

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 28, 2025

NPI status registered as active in NPPES database

📍

Updated Practice Location February 28, 2025

Registered at 750 NJ-73, SUITE 210, EVESHAM, NJ 08053 (Tel: 8563991010)

📍

Updated Business Mailing Address February 28, 2025

Registered at 1111 PARK DR, CHERRY HILL, NJ 080023754 (Tel: 6097807082)

👤

Provider Name / Credentials Updated February 28, 2025

Recorded as KEVIN DAVIS, LAC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2025

Counselor (License #37AC00825900 in NJ)

🟢

Initial NPI Registration & Enumeration February 28, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1508663238

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 28, 2025

Last Update: February 28, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1111 Park Dr

Cherry Hill, NJ 080023754

Phone: 6097807082

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.