Active NPI
Siobhan N. Davis, PC-CR, CDCA
- Mental Health Counselor
- Canton, OH
National Provider Identifier
1417212499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C 1100405CR
- Practice address
- 624 Market Ave N
Canton, OH 44702-1017 - Phone
- (330) 454-7066
- NPI assigned
- Jul 6, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C 1100405CR | OH | Primary |
Addresses
Primary practice location
624 Market Ave N
Canton, OH 44702-1017
Mailing address
4707 Maplegrove Ave
Louisville, OH 44641-9571
Phone (330) 280-1354
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C 1100405CR | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341532800000",
"number": "1417212499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4707 MAPLEGROVE AVE",
"city": "LOUISVILLE",
"state": "OH",
"postal_code": "446419571",
"telephone_number": "330-280-1354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 MARKET AVE N",
"city": "CANTON",
"state": "OH",
"postal_code": "447021017",
"telephone_number": "330-454-7066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SIOBHAN",
"middle_name": "N.",
"credential": "PC-CR, CDCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-06",
"last_updated": "2012-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C 1100405CR",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.