Susan Danelle Davis

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C7010 Issued in OR

Practice address

29398 Recovery Way
Junction City, OR 97448-8447

Phone

(541) 465-2907

NPI assigned

Jan 20, 2023

Last updated

Jan 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: susan.davis@dhsoha.state.or.us

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1316652571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 WILSON CT",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023361",
            "telephone_number": "541-243-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29398 RECOVERY WAY",
            "city": "JUNCTION CITY",
            "state": "OR",
            "postal_code": "974488447",
            "telephone_number": "541-465-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SUSAN",
        "middle_name": "DANELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "20-10-03",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C7010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susan.davis@dhsoha.state.or.us",
            "affiliation": "N",
            "endpointDescription": "state email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "29398 Recovery Way",
            "city": "Junction City",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974488447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cornerstone Medical
• Jacob Craven
• Jeri Croucher, RDN
• Kali D'Andrea
• Alyssa Dahl, APRN, FNP-C
• Maci Marie Deblanc
• Devon Denny, OTR
• Guy R. Dent
• George Stewart Dettlinger
• DHS/Office of Financial Services Irs/Eopc/BMRC/Eotc/Osh/Osh-P (Oregon State Hospital Junction City Campus)

• Mental Health Counselor in Junction City, OR
• Providers in Junction City, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.