Katelyn Davis, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

179628 Issued in OH

Practice address

1215 1St Ave
Middletown, OH 45044-4117

Phone

(513) 849-2081

Fax

(513) 849-2071

NPI assigned

Mar 12, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Freya Enterprise LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Middletown, OH
  • NPI 1346972510
  NPD
• Freya Enterprise LLC

  • Children's Substance Abuse Rehabilitation Facility
  • Middletown, OH
  • NPI 1629673900
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1184482259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 1ST AVE",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450444117",
            "telephone_number": "513-849-2081",
            "fax_number": "513-849-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 1ST AVE",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450444117",
            "telephone_number": "513-849-2081",
            "fax_number": "513-849-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KATELYN",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "179628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Lucille Davidson, LPN
• Cynthia A Davis
• D'Jara Lysette Davis, LPN
• Deanna Kay Davis, CNP
• Jessica Davis
• Laura Davis
• Miranda Joy Davis, LCSW
• Rebecca Deserisy Davis, CRNFA
• Richard L Davis II, M.D.
• Savanna Nicole Davis, CDCA

• Addiction (Substance Use Disorder) Counselor in Middletown, OH
• Providers in Middletown, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.