Individual provider Active NPI

Donald Allensworth-Davies, PHD, MSC, CPRS

  • Counselor
  • Canal Fulton, OH
National Provider Identifier
1720850381
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C.2406205-TRNE Issued in OH
Practice address
11775 Glencoe St NW
Canal Fulton, OH 44614-9627
Phone
(440) 381-4661
NPI assigned
Oct 26, 2023
Last updated
May 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C.2406205-TRNE OH Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.184824 OH
Community Health Worker 172V00000X NU
Peer Specialist 175T00000X APS.004570 OH

Addresses

Primary practice location

11775 Glencoe St NW
Canal Fulton, OH 44614-9627

Mailing address

11775 Glencoe St NW
Canal Fulton, OH 44614-9627
Phone (440) 381-4661

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
C.2406205-TRNEOHMDCounselor
CDCA.184824OHMDAddiction (Substance Use Disorder) Counselor
APS.004570OHMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1720850381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11775 GLENCOE ST NW",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446149627",
            "telephone_number": "440-381-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11775 GLENCOE ST NW",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446149627",
            "telephone_number": "440-381-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLENSWORTH-DAVIES",
        "first_name": "DONALD",
        "credential": "PHD, MSC, CPRS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-26",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.2406205-TRNE",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.184824",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.004570",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Fulton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.