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JERRY DAVENPORT LAC
NPI 1043579725
Counselor - Addiction (Substance Use Disorder) in Girard, KS

Active since May 15, 2012
810 CEDAR ST, GIRARD, KS 66743(620) 724-8806(620) 724-6170 Get Directions Write a Review

NPPES record last updated: May 15, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jerry Davenport Lac NPPES

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

JERRY DAVENPORT LAC (NPI 1043579725) is an individual addiction (substance use disorder) provider in Girard, Kansas, licensed in Kansas (461) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1043579725
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJERRY DAVENPORTCredential: LAC
Location Address810 CEDAR STGirard, KS 66743-2056
Mailing Address911 E Centennial DrPittsburg, KS 66762-6601 · (620) 231-5130
Phone(620) 724-8806
Fax(620) 724-6170
Sole ProprietorNo
Enumeration DateMay 15, 2012
✔ NPI 1043579725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in KS · 461
810 CEDAR ST, Girard, KS 66743
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Other Providers at the Same Location NPPES 8

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

PATRICK LACKAMP LAC
Counselor (Addiction (Substance Use Disorder))
810 CEDAR ST
GIRARD, KS 66743
Crawford County (620) 724-8806
COMMUNITY MENTAL HEALTH CENTER OF CRAWFORD COUNTY
Community/Behavioral Health
810 CEDAR ST
GIRARD, KS 66743
Crawford County (620) 231-5130
ADDICTION TREATMENT CENTER OF SOUTHEAST KANSAS
Community/Behavioral Health
810 CEDAR ST
GIRARD, KS 66743
Crawford County (620) 724-8806
JUDITH C WHEELER LMLP
Psychologist
810 CEDAR ST
GIRARD, KS 66743
Crawford County (620) 724-8806
BOB BANKS APPS COUNSELOR
Counselor (Addiction (Substance Use Disorder))
810 CEDAR ST
GIRARD, KS 66743
Crawford County (620) 724-8806
MR. JAMES MARSHALL CHILDERS LCPC
Counselor (Professional)
810 CEDAR ST
GIRARD, KS 66743
Crawford County (620) 724-8806
BRANDON M MORK
Counselor (Mental Health)
810 CEDAR ST
GIRARD, KS 66743
Crawford County (620) 724-8806
SHARON CARPINO LAC
Counselor (Addiction (Substance Use Disorder))
810 CEDAR ST
GIRARD, KS 66743
Crawford County (620) 724-8806

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 Jerry Davenport's NPI number?

The NPI number for Jerry Davenport is 1043579725. It was assigned to this individual provider in the NPPES registry on May 15, 2012.

Where is Jerry Davenport located?

Jerry Davenport practices at 810 Cedar St, Girard, KS 66743. The listed phone number is (620) 724-8806.

What is Jerry Davenport's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jerry Davenport was last updated on May 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.