SUSAN KATHRYN DAVIS
Counselor

Address: 2519 E Ellendale Ave, Dallas, OR 97338-9575

SUSAN KATHRYN DAVIS (NPI# 1497126882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497126882
Entity Type Individual
Full Name SUSAN KATHRYN DAVIS
Gender Female
Credential MA COUNSELING
Practice Address 2519 E Ellendale Ave
Dallas
OR 97338-9575
Practice Telephone 5039491294
Mailing Address 1289 Sw Levens St
Dallas
OR 97338-2268
Mailing Telephone 5039491294
Enumeration Date 2015-10-12
Last Update Date 2018-05-02
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 101Y00000X Counselor Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
R4988 OR Behavioral Health & Social Service Providers

Provider Secondary Practice Locations

Address Telephone Number Fax Number
4305 River Rd N, Keizer, OR 973035506 9713047245

Office Location

Street Address 2519 E ELLENDALE AVE
City DALLAS
State OR
Zip Code 97338-9575

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1184633141 Clear Paths Inc Counselor - Addiction (Substance Use Disorder) 171 Sw Court, Dallas, OR 97338 2006-08-07
1982825741 Donna Jean Errandolsen Social Worker 182swacademy, Dallas, OR 97338 2007-05-01
1366517989 Christopher D. Johnson Od, PC · Mid-Valley Eyecare Optometrist 986 Se Uglow St., Dallas, OR 97338 2006-11-21
1740383116 Christopher David Johnson Optometrist 986 Se Uglow Street, Dallas, OR 97338 2006-09-07
1588185953 Herbert Starr Woodward IIi Dentist - General Practice 201 Se Washington St, Dallas, OR 97338 2017-07-06
1205265493 Chung-Fan Ni Counselor - Mental Health 182 S. W. Academy St., Academy Building, Dallas, OR 97338 2013-11-07
1235211343 Jennifer Lief Counselor - Addiction (Substance Use Disorder) 182 Sw Academy Street, Dallas, OR 97338 2006-10-19
1912116161 Nan Cecile Cordy Counselor - Mental Health 211 E. Ellendale Suite #7, Dallas, OR 97338 2007-05-22
1235420167 Deborah Kennedy Counselor - Mental Health 527 Ne Fern Ave, Dallas, OR 97338 2011-04-26
1093926123 Justin W Reed Counselor - Mental Health Academy Building, 182 S.w. Academy St. Suite 304, Dallas, OR 97338 2007-05-24
Find all in zip 97338

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710553755 Chase Olivia Sorrells Counselor 8035 Erl Thornton Fwy, 251, Dallas, TX 75228 2021-06-01
1568038628 Delicia Julien Counselor 104 Gardenia Ln, Dallas, GA 30132-4493 2021-05-31
1043885627 Jasmine Gonzalez Counselor 16610 Dallas Pkwy Ste 2100, Dallas, TX 75248-2690 2021-05-25
1184299190 Julie Dyer Counselor 4240 Sigma Rd, Dallas, TX 75244-4414 2021-05-21
1225602451 Diamond Diagnostic Center Counselor 9535 Forest Ln Ste 290, Dallas, TX 75243-5900 2021-05-13
1437740461 Kierra Genae Taylor Counselor 18788 Marsh Ln Apt 1520, Dallas, TX 75287-3549 2021-02-02
1245836121 Reginald Smith Counselor 1513 N Haskell Ave # 102, Dallas, TX 75204-5220 2020-12-07
1013512409 Elizabeth Ball Counselor 1400 N Westmoreland Rd, Dallas, TX 75211-1656 2020-12-02
1003416389 Megan Marie Daniel Counselor 11040 Mccree Rd, Dallas, TX 75238-3033 2020-10-27
1124627682 Preston Ivey Counselor 6001 Summerside Dr Ste 202, Dallas, TX 75252-5336 2020-10-25
Find all providers in DALLAS

Competitor

Search similar providers

City DALLAS
Zip Code 97338

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NPI Name Taxonomy Address Enumeration
1336738251 Mary Kathryn Davis Pharmacist 2200 Malcolm Ave Ste D, Newport, AR 72112-3697 2021-01-14
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1043881485 Susan Davis Community Health Worker 414 Louzy Rd, Grafton, WV 26354-7668 2021-07-07
1346832904 Kathleen Susan Davis Registered Nurse 818 19th Ave S Apt 929, Nashville, TN 37203-3860 2021-02-05
1982146213 Kathryn Diane Taillie · Kathryn D Dempsey Physician Assistant 2885 N Mayfair Rd, Wauwatcsa, WI 53222-4404 2016-11-17
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1093392367 Kathryn Kathan · Kathryn Deboo Dietitian, Registered 750 N Dearborn St Apt 1312, Chicago, IL 60654-5370 2021-03-24
1255453221 Kathryn R Conly · Kathryn R Weldon Counselor - Professional 738 Fm 2657, Briggs, TX 78608-1026 2007-04-03
1003943358 Susan Sowder Bates · Susan S. Gregory Social Worker - Clinical 17320 New Kent Hwy, Barhamsville, VA 23011-2353 2007-02-27
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.