James Scott Davis, M.S.
Individual provider Active NPI Marriage & Family Therapist · River Falls, WI
NPI 1902012016 · NPPES record last updated Feb 4, 2011
Key facts
- NPI
- 1902012016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 124-717 (WI)
- Practice address
- 2860 Williams Ave
River Falls, WI 54022-4898 - Phone
- (715) 425-5110
- Fax
- (715) 425-5120
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Fairview Express Care
Practice addresses (Care Compare)
319 S Main St
River Falls, WI 54022-2452
Phone (715) 425-6701
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231221000959 | WI | Practitioner - Marriage and Family Therapist | 8426408147 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124-717 | WI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Express Care | Current |
Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current |
Accepting new patients | |
| Northwest Counseling and Guidance Clinic | Past | Accepting new patients |
Locations
1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740
2651 Hillcrest Dr
Ste 302
Hudson, WI 54016
Phone (651) 241-5290
319 S Main St
River Falls, WI 54022
Phone (715) 425-6701
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 124-717 | WI | Yes |
Addresses
Primary practice location
2860 Williams Ave
River Falls, WI 54022-4898
Mailing address
134 Paulson Rd
River Falls, WI 54022-8240
Phone (715) 495-2916
Other providers in River Falls, WI
- Gary Thomas Cottrell
- Jennifer Kristen Crim
- Vincent James Crispino
- Rita Lynn Cudd
- Kelly Curtis
- Susan Adele Davis
- Laura K Decheine
- Paris Delisle
- Katherine J Delong-Hecker
- Daniel Dibenedetto
All providers in River Falls, WI · Marriage & Family Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.