Andrew J Davis, M.S.ED, PCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E0007707 Issued in OH

Practice address

777 W Market St Ste C3
Akron, OH 44303-1092

Phone

(330) 715-1368

NPI assigned

Jan 2, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Signature Psychiatry Associates IncGroup PAC ID 2961710017, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12054/brand/1/csg/1/fhir/r4

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.

• Signature Psychiatry Associates Inc

  • Psychiatry Physician
  • Fairlawn, OH
  • NPI 1942684774
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1851576367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 ARDMORE AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443021209",
            "telephone_number": "330-715-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 W MARKET ST STE C3",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443031092",
            "telephone_number": "330-715-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANDREW",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "M.S.ED, PCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0007707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Davidson
• Timothy Robert Davidson, LSW
• Kerry Davies
• Deseree A Davis Farley
• Abigail Davis
• Anna Denice Davis
• Annette Beverly Davis
• April Davis, APRN
• Audra Kathleen Davis
• Breauna Davis

• Professional Counselor in Akron, OH
• Providers in Akron, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.