Active NPI
Marquita Shenae Davis
- Mental Health Counselor
- Dayton, OH
National Provider Identifier
1740986991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C2607964
- Practice address
- 1358 Canfield Ave
Dayton, OH 45406-4309 - Phone
- (937) 248-5162
- NPI assigned
- Jan 31, 2023
- 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 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | C2607964 | OH | |
| School Social Worker | 1041S0200X | C.2506455-TRNE | OH | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | C2607964 | OH | |
| Adult Mental Health Clinic/Center | 261QM0850X | C2607964 | OH | |
| Community/Behavioral Health Agency | 251S00000X | C2607964 | OH | |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | C2607964 | OH | |
| Case Management Agency | 251B00000X | C2607964 | OH | |
| Developmentally Disabled Services Day Training Agency | 251C00000X | C2607964 | OH | |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | C2607964 | OH | |
| Clinic/Center | 261Q00000X | C2607964 | OH | |
| Mental Health Counselor | 101YM0800X | C2607964 | OH | Primary |
Addresses
Primary practice location
1358 Canfield Ave
Dayton, OH 45406-4309
Mailing address
7010 Hercules Way
Waynesville, OH 45068-7505
Phone (937) 248-5162
Other practice location 1
1438 Kumler Ave
Dayton, OH 45406-5931
Phone (937) 248-5162
Other practice location 2
411 Marathon Ave
Dayton, OH 45406-4846
Phone (937) 248-5162
Other practice location 3
426 S James H McGee Blvd
Dayton, OH 45402-8049
Phone (937) 248-5162
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.2506455-TRNE | OH | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Second Chance Dayton Group Home | Case Management | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1740986991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7010 HERCULES WAY",
"city": "WAYNESVILLE",
"state": "OH",
"postal_code": "450687505",
"telephone_number": "937-248-5162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1358 CANFIELD AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454064309",
"telephone_number": "937-248-5162"
}
],
"practiceLocations": [
{
"address_1": "1438 Kumler Ave",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454065931",
"country_code": "US",
"telephone_number": "937-248-5162",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "411 Marathon Ave",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454064846",
"country_code": "US",
"telephone_number": "937-248-5162",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "426 S James H McGee Blvd",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454028049",
"country_code": "US",
"telephone_number": "937-248-5162",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "MARQUITA",
"middle_name": "SHENAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-31",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": "OH",
"license": "C2607964",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "OH",
"license": "C.2506455-TRNE",
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "OH",
"license": "C2607964",
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "OH",
"license": "C2607964",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OH",
"license": "C2607964",
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "OH",
"license": "C2607964",
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "OH",
"license": "C2607964",
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "OH",
"license": "C2607964",
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "OH",
"license": "C2607964",
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "OH",
"license": "C2607964",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C2607964",
"primary": true
}
],
"identifiers": [],
"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 Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.