Chad Alan Davis

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60071760 Issued in WA

Practice address

1021 W Broadway Ave
Suite a
Moses Lake, WA 98837-2604

Phone

(509) 764-4164

Fax

(509) 764-4165

NPI assigned

Sep 20, 2007

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

Not listed in the public Medicare enrollment file

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.

Specialty

Mental Health Counselor

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1881880003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W BROADWAY AVE",
            "address_2": "SUITE A",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372604",
            "telephone_number": "509-764-4164",
            "fax_number": "509-764-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 W BROADWAY AVE",
            "address_2": "SUITE A",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372604",
            "telephone_number": "509-764-4164",
            "fax_number": "509-764-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHAD",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-20",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60071760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph Donald Dann
• Shannon Marie Darlington, BA
• Erin Ann Davenport
• David D. Feller PS
• Nicole Roxanne Davidson, AGENCY AFFILIATED
• Melody Jade Davis
• Victoria Dawson, M.ED
• DD Hearing, PS
• Velma De la Rosa, M.A., LMFTA
• Alana Degooyer

• Mental Health Counselor in Moses Lake, WA
• Providers in Moses Lake, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.