P Praxis·MD
● Active Type 1 · Individual

Keith James Davis, LPC

Counselor·Moscow, ID· NPI 1134904949 · Enumerated 2023 · 2 years on NPI
Davis is 1 of 19 counselor providers in Moscow and 1 of 1313 in Idaho.
NPI age
2 years
Enumerated 2023-08-29
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-05-10
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1313 active counselor providers in Idaho.

NPI age
2 years
↓ 7 yr below median (9 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-08Enumerated in NPPES
2023 2026

Where they practice

Practice location
805 N Main St Ste 109
Moscow, ID 838438513
📞 2088317094fax 2084189816
Mailing address
707 Bentz St # 252
Troy, ID 838710015
📞 5095920902

Additional practice locations

1 secondary location on file with NPPES.

Location 2
818 S Washington St
Moscow, ID 838433049
📞 2088828514

Specialties

  • Counselor Primary
    Definition to come...
    ID license #9827 taxonomy 101YP2500X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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