Brian Earl Davis, M.DIV., PH.D.
NPI 1760568620ActiveIndividual· Counselor, Professional· Albuquerque, NM
Counselor, Professional (M.DIV., PH.D.) with Formation Counseling Services Inc, practicing in Albuquerque, New Mexico. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1760568620 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.DIV., PH.D. |
| Sole proprietor | No |
| NPI issued | Oct 31, 2006 |
| Last updated in NPPES | Sep 28, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | CCMH0150051 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (NM) |
|---|
Education and affiliations
| Graduation year | 1989 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
Medical group
- Formation Counseling Services IncAlbuquerque, NM · 15 clinicians
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