Individual provider Active NPI

Marquita Shenae Davis

  • Mental Health Counselor
  • Dayton, OH
National Provider Identifier
1740986991
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C2607964 Issued in OH
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

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
C.2506455-TRNEOHMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Second Chance Dayton Group Home Case Management CurrentSince Feb 8, 2023 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.

Verify at the official NPI Registry.