MR. CLIFTON LEO DAVIS JR. (NPI# 1285289587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285289587 |
| Entity Type | Individual |
| Full Name | MR. CLIFTON LEO DAVIS JR. |
| Practice Address |
6417 O Dana Rd #5 Madison WI 53719 |
| Practice Telephone | 6082686530 |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518058973 | Clifton Colby Davis | Anesthesiology | 25b Vreeland Road, Ste 110, Florham Park, NJ 07932-1900 | 2006-09-28 |
| 1235697962 | Clifton Davis | Case Manager/Care Coordinator | 4460 S Highland Dr, Salt Lake City, UT 84124-3543 | 2019-03-12 |
| 1083077358 | Clifton R. Davis | Internal Medicine | 933 E Pierce St, Council Bluffs, IA 51503 | 2016-04-03 |
| 1760611628 | Clifton Isaiah Davis | Marriage & Family Therapist | 108 W Victoria St, Gardena, CA 90248-3523 | 2009-07-13 |
| 1164514121 | Clifton Davis Jr. | Counselor | 11201 Benton St, Loma Linda, CA 92357-1000 | 2006-09-28 |
| 1083647960 | Clifton H Davis | Physician Assistant | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 | 2006-07-07 |
| Street Address |
6417 O DANA RD #5 |
| City | MADISON |
| State | WI |
| Zip Code | 53719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
| 1376168989 | 360 Wellness LLC | Physical Therapist | 504 S Yellowstone Lane, Madison, WI 53719 | 2020-06-09 |
| 1932744067 | Sara Ruiz | Marriage & Family Therapist | Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 | 2019-11-13 |
| 1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
| 1679127278 | Akillah Jamillah Wali | Psychologist | 6417 Odana Rd Suite 5, Madison, WI 53719 | 2019-07-31 |
| 1689230211 | Brandy Georgecopeland | Marriage & Family Therapist | 6417 Odana Rd. Ste 5, Madison, WI 53719 | 2019-05-20 |
| 1275016826 | Kelsey Andersen | Physical Therapist | 504 S. Yellowstone Lane, Madison, WI 53719 | 2018-09-10 |
| 1740797190 | Catelyn Schwerke | Social Worker | 3848 Maple Grove Dr, Apt 307, Madison, WI 53719 | 2018-01-08 |
| 1922519008 | Mary Jane Cruz Delorme | Registered Nurse | 6831 Mader Dr. #210, #210, Madison, WI 53719 | 2017-10-17 |
| 1043740798 | Cody Brummel | Physical Therapy Assistant | 2557 Roanoke Circle, Fitchburg, WI 53719 | 2017-06-15 |
| Find all providers in zip 53719 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700411048 | Kathleen M Allcox | Counselor | 4202 Monona Dr, Madison, WI 53716-1664 | 2020-03-06 |
| 1487299277 | Hanging Lanes Christian Wellness Ministries and Counseling Center | Counselor | 650 Sun Temple Drive, Madison, AL 35758 | 2019-11-15 |
| 1013563717 | Cynthia A Perry | Counselor | 104 Brickstone Pl, Madison, AL 35756-3498 | 2019-08-18 |
| 1912562687 | Dedicated Solutions, LLC. | Counselor | 8006 Old Madison Pike Ste 20o, Madison, AL 35758-1490 | 2019-05-07 |
| 1063997955 | Tarea Stout | Counselor | 213 Paxton Cv, Madison, MS 39110-8900 | 2018-09-26 |
| 1700374410 | Susan Banks-norton | Counselor | 461 Capshaw Rd Nw Ste F, Madison, AL 35757-7940 | 2018-04-27 |
| 1720586761 | Anesis Center for Marriage and Family Therapy | Counselor | 6409 Odana Rd Ste 14, Madison, WI 53719-1177 | 2018-01-24 |
| 1124545199 | Synergos Counseling LLC | Counselor | 5250 E Terrace Dr, Madison, WI 53718-8345 | 2017-08-29 |
| 1194271106 | Lea Angela Pearrow | Counselor | 1321 Cheyenne Blvd, Madison, TN 37115-5523 | 2016-08-30 |
| 1265895387 | Ann M Grob | Counselor | 1102 S Park St Ste 400, Madison, WI 53715-1708 | 2016-04-05 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.