Amanda M Davis

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

164903 Issued in OH

Practice address

4300 Old Scioto TRL
Portsmouth, OH 45662-6642

Phone

(740) 529-0553

NPI assigned

Feb 8, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Shawnee Counseling Center LLC

  • Substance Abuse Rehabilitation Facility
  • Portsmouth, OH
  • NPI 1033695051
  NPD
• Shawnee Counseling Center LLC

  • Community/Behavioral Health Agency
  • Portsmouth, OH
  • NPI 1780278705
  NPD

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1437658036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17004 STATE ROUTE 348",
            "city": "LUCASVILLE",
            "state": "OH",
            "postal_code": "456488452",
            "telephone_number": "740-285-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 OLD SCIOTO TRL",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456626642",
            "telephone_number": "740-529-0553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "519 Court St",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "45662",
            "country_code": "US",
            "telephone_number": "740-876-4370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14412 US Highway 23",
            "address_purpose": "LOCATION",
            "city": "Waverly",
            "state": "OH",
            "postal_code": "456909337",
            "country_code": "US",
            "telephone_number": "740-947-6727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "227 Calverts Ln",
            "address_purpose": "LOCATION",
            "city": "West Portsmouth",
            "state": "OH",
            "postal_code": "45663",
            "country_code": "US",
            "telephone_number": "740-285-6163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4342 Gallia St",
            "address_purpose": "LOCATION",
            "city": "New Boston",
            "state": "OH",
            "postal_code": "456625562",
            "country_code": "US",
            "telephone_number": "740-529-1184",
            "fax_number": "740-529-4118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "227 Calverts Ln",
            "address_purpose": "LOCATION",
            "city": "West Portsmouth",
            "state": "OH",
            "postal_code": "45663",
            "country_code": "US",
            "telephone_number": "740-285-6163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AMANDA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-08",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "164903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0311167",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Darby, CDCA
• Sarah Lynn Darby
• Darren Adams, D.O. L.L.C
• Michael Davies
• Amanda Davis
• Antoine Davis
• Brandilyn Ann Davis, PHARMD
• Brett J Davis, RPH
• Caleb Ross Davis, DPM
• Cheyanne Davis

• Addiction (Substance Use Disorder) Counselor in Portsmouth, OH
• Providers in Portsmouth, 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 Apr 25, 2024; 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.