Individual provider Active NPI

James Scott Davis, M.S.

  • Marriage & Family Therapist
  • River Falls, WI
National Provider Identifier
1902012016
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
124-717 Issued in WI
Practice address
2860 Williams Ave
River Falls, WI 54022-4898
Phone
(715) 425-5110
Fax
(715) 425-5120
NPI assigned
May 15, 2007
Last updated
Feb 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 124-717 WI Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20231221000959 WI Practitioner - Marriage and Family Therapist 8426408147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

319 S Main St
River Falls, WI 54022-2452
Phone (715) 425-6701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
124-717WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care CurrentSince Jan 1, 2024 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Express Care CurrentSince Jan 1, 2024 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

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1902012016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 PAULSON RD",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540228240",
            "telephone_number": "715-495-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 WILLIAMS AVE",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540224898",
            "telephone_number": "715-425-5110",
            "fax_number": "715-425-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JAMES",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "124-717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Falls, WI

Sources for this page

Verify at the official NPI Registry.