Active NPI
Ken Davis, BSW, CDP
- Health & Wellness Coach
- Saint Helens, OR
National Provider Identifier
1013436138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- 26-QMHA-R-8814
- Practice address
- 58646 McNulty Way
Saint Helens, OR 97051-6210 - Phone
- (503) 397-5211
- Fax
- (503) 397-5373
- NPI assigned
- Sep 11, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP60382527 | WA | |
| Health & Wellness Coach | 171400000X | 26-QMHA-R-8814 | OR | Primary |
| Mental Health Counselor | 101YM0800X | CAAL.CU.61647542 | WA |
Addresses
Primary practice location
58646 McNulty Way
Saint Helens, OR 97051-6210
Mailing address
58646 McNulty Way
Saint Helens, OR 97051-6210
Phone (503) 397-5211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP60382527 | WA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1013436138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58646 MCNULTY WAY",
"city": "SAINT HELENS",
"state": "OR",
"postal_code": "970516210",
"telephone_number": "503-397-5211",
"fax_number": "503-397-5373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58646 MCNULTY WAY",
"city": "SAINT HELENS",
"state": "OR",
"postal_code": "970516210",
"telephone_number": "503-397-5211",
"fax_number": "503-397-5373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KEN",
"name_prefix": "Mr.",
"credential": "BSW, CDP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-11",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP60382527",
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "OR",
"license": "26-QMHA-R-8814",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "CAAL.CU.61647542",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Helens, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.