Melissa D Davidson
Individual provider Active NPI Professional Counselor · Pedro, OH
NPI 1275219271 · NPPES record last updated Jan 14, 2026
Key facts
- NPI
- 1275219271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- C.2607514-TRNE (OH)
- Practice address
- 115 Private Road 977
Pedro, OH 45659-8608 - Phone
- (740) 534-1386
- NPI assigned
- Jun 23, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2607514-TRNE | OH | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Professional Counselor | 101YP2500X | C.2607514-TRNE | OH | Yes |
Addresses
Primary practice location
115 Private Road 977
Pedro, OH 45659-8608
Mailing address
115 Private Road 977
Pedro, OH 45659-8608
Other providers in Pedro, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.