NPIMap

Individual provider Active NPI

Carl W Davis Jr.

  • Case Manager/Care Coordinator
  • Wheelersburg, OH
National Provider Identifier
1346049012
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
8308 Ohio River Rd Ste B
Wheelersburg, OH 45694-1713
Phone
(740) 529-1201
NPI assigned
Mar 13, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X OH
Case Manager/Care Coordinator 171M00000X Primary
Mental Health Counselor 101YM0800X OH

Addresses

Primary practice location

8308 Ohio River Rd Ste B
Wheelersburg, OH 45694-1713

Mailing address

PO Box 402
Wheelersburg, OH 45694-0402

Other practice location 1

7175 State Route 104
Mc Dermott, OH 45652-8899
Phone (740) 858-6683

Other practice location 2

9620 Careys Run Pond Creek Road
Wheelersburg, OH 45694
Phone (740) 858-6683

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

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Now Counseling and Treatment LLC Addiction (Substance Use Disorder) CurrentSince Mar 20, 2025 Accepting new patients
Moving Forward Residential LLC CurrentSince Dec 7, 2025 Accepting new patients
Serenity Now Counseling and Treatment LLC Mental Health PastSince Mar 20, 2025 Accepting new patients
Moving Forward Residential LLC PastSince Dec 7, 2025 Accepting new patients

Locations

8308 Ohio River Rd
Ste B
Wheelersburg, OH 45694
Phone (740) 529-1201

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1346049012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456940402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8308 OHIO RIVER RD STE B",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456941713",
            "telephone_number": "740-529-1201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7175 State Route 104",
            "address_purpose": "LOCATION",
            "city": "Mc Dermott",
            "state": "OH",
            "postal_code": "456528899",
            "country_code": "US",
            "telephone_number": "740-858-6683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9620 CAREYS RUN POND CREEK ROAD",
            "address_purpose": "LOCATION",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "45694",
            "country_code": "US",
            "telephone_number": "740-858-6683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CARL",
        "middle_name": "W",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheelersburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.