McKay Knight Davis, MACL, LPC, CRADC
Counselor, Professional in Republic, MO. Individual provider (NPI-1).
NPI number1275967796
StatusActive
Last updated in NPPESJun 7, 2015
Details
- NPI
- 1275967796
- Entity type
- Individual (NPI-1)
- Name
- McKay Knight Davis
- Credential
- MACL, LPC, CRADC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 3, 2013
- Last updated
- Jun 7, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2013022743 | MO | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 8056 | MO |
Practice location
689 W Juan Tabo LnRepublic, MO 65738-1487
Phone 417-838-7105
Mailing address
689 W Juan Tabo LnRepublic, MO 65738-1487
Phone 417-838-7105
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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