Active NPI
Susan J Davis, LPCC-S
- Mental Health Counselor
- Dayton, OH
National Provider Identifier
1528305992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.1200727
- Practice address
- 1 Childrens PLZ
Dayton, OH 45404-1815 - Phone
- (937) 641-4480
- Fax
- (937) 641-5936
- NPI assigned
- Jan 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | E.1200727 | OH | Primary |
Addresses
Primary practice location
1 Childrens PLZ
Dayton, OH 45404-1815
Mailing address
PO Box 933421
Cleveland, OH 44193-0039
Phone (937) 641-5072
Other practice location 1
3333 W Tech Rd
Miamisburg, OH 45342-0955
Phone (937) 641-4480
Other practice location 2
15830 Schoolhouse Rd
Brookville, OH 45309-9716
Phone (757) 291-7667
Other practice location 3
93 W Franklin St
Centerville, OH 45459-4770
Phone (757) 291-7667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0210598 | Medicaid | OH |
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 |
|---|---|---|---|
| E.1200727 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1528305992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 933421",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441930039",
"telephone_number": "937-641-5072",
"fax_number": "937-641-6129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHILDRENS PLZ",
"city": "DAYTON",
"state": "OH",
"postal_code": "454041815",
"telephone_number": "937-641-4480",
"fax_number": "937-641-5936"
}
],
"practiceLocations": [
{
"address_1": "3333 W Tech Rd",
"address_purpose": "LOCATION",
"city": "Miamisburg",
"state": "OH",
"postal_code": "453420955",
"country_code": "US",
"telephone_number": "937-641-4480",
"fax_number": "937-641-5936",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15830 Schoolhouse Rd",
"address_purpose": "LOCATION",
"city": "Brookville",
"state": "OH",
"postal_code": "453099716",
"country_code": "US",
"telephone_number": "757-291-7667",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "93 W Franklin St",
"address_purpose": "LOCATION",
"city": "Centerville",
"state": "OH",
"postal_code": "454594770",
"country_code": "US",
"telephone_number": "757-291-7667",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "SUSAN",
"middle_name": "J",
"credential": "LPCC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-05",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.1200727",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0210598",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.