Brooke Davis

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCDCIII.161879 Issued in OH

Practice address

111 N High St
Waverly, OH 45690

Phone

(740) 947-7581

NPI assigned

Nov 8, 2017

Last updated

May 31, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Pike County Recovery Council Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waverly, OH
  • NPI 1760742993
  NPD (past)

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1346753662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 W 6TH ST",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456901604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N HIGH ST",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "45690",
            "telephone_number": "740-947-7581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4350 Gallia St",
            "address_purpose": "LOCATION",
            "city": "New Boston",
            "state": "OH",
            "postal_code": "45662",
            "country_code": "US",
            "telephone_number": "740-354-6550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4350 Gallia St",
            "address_purpose": "LOCATION",
            "city": "New Boston",
            "state": "OH",
            "postal_code": "45662",
            "country_code": "US",
            "telephone_number": "740-354-6550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.164694",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LCDCIII.161879",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "QMHS",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Nicole Darnell
• Betty Daugherty
• David Ashley MD DMD Oral Surgery Group, PC (Oral Surgery and Wisdom Teeth of Ohio)
• David T Brown OD LLC
• Brianne Davis, CMS
• Courtney Davis
• Eric Nicholas Davis, RPH
• Marvin D Davis
• Regina Faye Davis, CDCA
• James Taylor Dawkins

• Addiction (Substance Use Disorder) Counselor in Waverly, OH
• Providers in Waverly, 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 May 31, 2019; 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.