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NICHOLAS DAVIS LPC
NPI 1043101066
Counselor - Professional in Chubbuck, ID

Active since July 09, 2025
4737 S AFTON PL STE A, CHUBBUCK, ID 83202(208) 417-0623 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicholas Davis Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS DAVIS LPC (NPI 1043101066) is an individual professional provider in Chubbuck, Idaho, licensed in Idaho (4671469) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1043101066
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameNICHOLAS DAVISCredential: LPC
Location Address4737 S AFTON PL STE AChubbuck, ID 83202-2317
Mailing Address5033 Hawthorne Rd Apt 15Pocatello, ID 83202-2261 · (208) 269-0601
Phone(208) 417-0623
Sole ProprietorNo
Enumeration DateJuly 9, 2025
NPPES CertifiedJuly 9, 2025
✔ NPI 1043101066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in ID · 4671469
4737 S AFTON PL STE A, Chubbuck, ID 83202
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LALANA NAVO SAM LMSW
Social Worker
4737 S AFTON PL STE A
CHUBBUCK, ID 83202
Bannock County (208) 417-0623
AMIE HUGHES BA
Peer Specialist
4737 S AFTON PL STE A
CHUBBUCK, ID 83202
Bannock County (208) 251-4951

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Davis's NPI number?

The NPI number for Nicholas Davis is 1043101066. It was assigned to this individual provider in the NPPES registry on July 9, 2025.

Where is Nicholas Davis located?

Nicholas Davis practices at 4737 S Afton Pl Ste A, Chubbuck, ID 83202. The listed phone number is (208) 417-0623.

What is Nicholas Davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Nicholas Davis was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.