Individual provider Active NPI

Hadley Allene Davis

  • Marriage & Family Therapist
  • Pleasant Hill, CA
National Provider Identifier
1639517790
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT97532 Issued in CA
Practice address
1 Santa Barbara Rd
Pleasant Hill, CA 94523-4215
Phone
(925) 256-0791
Fax
(925) 937-6271
NPI assigned
Jun 11, 2013
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X IMF75956 CA
Marriage & Family Therapist 106H00000X IMF75956 CA
Marriage & Family Therapist 106H00000X LMFT97532 CA Primary

Addresses

Primary practice location

1 Santa Barbara Rd
Pleasant Hill, CA 94523-4215

Mailing address

1 Santa Barbara Rd
Pleasant Hill, CA 94523-4215
Phone (661) 575-5522

Other practice location 1

401 Roland Way Ste 100
Oakland, CA 94621-2034
Phone (510) 839-3800

Other practice location 2

2275 Arlington Dr
San Leandro, CA 94578-1132
Phone (510) 317-1444

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

LicenseStateTypeSpecialty
IMF75956CAMDMarriage & Family Therapist
LMFT97532CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1639517790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SANTA BARBARA RD",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234215",
            "telephone_number": "661-575-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SANTA BARBARA RD",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234215",
            "telephone_number": "925-256-0791",
            "fax_number": "925-937-6271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Roland Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946212034",
            "country_code": "US",
            "telephone_number": "510-839-3800",
            "fax_number": "510-835-4684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2275 Arlington Dr",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945781132",
            "country_code": "US",
            "telephone_number": "510-317-1444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "HADLEY",
        "middle_name": "ALLENE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF75956",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF75956",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT97532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.