MR. JEFFREY WAYNE DAVIS (NPI# 1982945226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982945226 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY WAYNE DAVIS |
| Credential | LCDC |
| Practice Address |
3625 Manchaca Rd Suite 202 Austin TX 78704-6631 |
| Mailing Address |
4524 Speedway Austin TX 78751-3009 |
| Practice Telephone | 5128507736 |
| Mailing Telephone | 5128507736 |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
11727 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902346042 | Jeffrey Samuel Davis | Durable Medical Equipment & Medical Supplies | 1357 Selbydon Way, Winter Garden, FL 34787-4652 | 2017-03-07 |
| 1609248749 | Jeffrey Davis | Pharmacist | 461 Western Blvd, Unit #122, Jacksonville, NC 28546 | 2015-10-28 |
| 1194192419 | Jeffrey Davis | Social Worker | 32 Hunting Ridge Farms Rd, Branford, CT 06405-6131 | 2015-08-24 |
| 1093141483 | Jeffrey S Davis | Technician/Technologist | 258 Corporate Dr Ste 213, Madison, WI 53714-2407 | 2013-09-18 |
| 1821433368 | Jeffrey Alan Davis | Obstetrics & Gynecology | 522 Northcrest Drive, Northcrest Center for Women's Health, Springfield, TN 37172 | 2013-05-09 |
| 1770821399 | Jeffrey William Davis | Physical Therapy Assistant | 966a Killian Hill Rd, Lilburn, GA 30047 | 2013-01-17 |
| 1407172240 | Jeffrey Alan Davis | Specialist/Technologist | 300 N. Kilgore Street, Kilgore, TX 75662 | 2010-04-19 |
| 1144413204 | Jeffrey William Davis | Social Worker | 216 N Pratt Ave, Carson City, NV 89701-4722 | 2007-08-22 |
| 1689881385 | Jeffrey M Davis | Chiropractor | 52 Heritage Ct., Woodcliff Lake, NJ 07677 | 2007-05-16 |
| 1760507727 | Jeffrey Todd Davis | Specialist/Technologist | #1 Bobcat Lane, Hallsville, TX 75650-0810 | 2007-03-20 |
| Street Address |
3625 MANCHACA RD SUITE 202 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704-6631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427111061 | Patricia Lynn Taylor | Counselor | 3625 Manchaca Rd, Suite 103, Austin, TX 78704-6631 | 2006-12-18 |
| 1457892507 | Marissa Rivera | Counselor | 3625 Manchaca Rd, Suite 202, Austin, TX 78704-6631 | 2017-03-09 |
| 1639532195 | Lee Ann Cameron | Counselor | 3625 Manchaca Rd, Suite 102b, Austin, TX 78704-6631 | 2016-04-01 |
| 1326410424 | Alan George Waisanen | Counselor | 3625 Manchaca Rd, Suite 303, Austin, TX 78704-6631 | 2015-10-28 |
| 1558772699 | Sarah B Plyler | Marriage & Family Therapist | 3625 Manchaca Rd, Suite 202, Austin, TX 78704-6631 | 2014-05-12 |
| 1770841264 | Kevin Anthony Fall | Counselor | 3625 Manchaca Rd, Austin, TX 78704-6631 | 2012-05-02 |
| 1891072112 | Cliff Hamrick | Counselor | 3625 Manchaca Rd, Suite 202, Austin, TX 78704-6631 | 2011-11-15 |
| 1962787929 | Juliane Taylor Shore | Counselor | 3625 Manchaca Rd, Suite 102, Austin, TX 78704-6631 | 2011-10-20 |
| 1255619201 | Priscilla Elliott | Counselor | 3625 Manchaca Rd, Suite 303, Austin, TX 78704-6631 | 2011-07-25 |
| 1669776324 | Anne M Cusick | Acupuncturist | 3625 Manchaca Rd, Austin, TX 78704 | 2011-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
| 1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
| 1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
| 1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
| 1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
| Find all providers in zip 78704 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013985 | Kyle Allan Mccall | Counselor | 5015 S Ih 35 Frontage Rd, Suite 200, Austin, TX 78744 | 2020-11-06 |
| 1639770969 | Fadya Therapy Pllc | Counselor | 1452 Wild Basin Ldg, Austin, TX 78746-2700 | 2020-11-03 |
| 1669089504 | Tess Lenae Taylor | Counselor | 1205 Luna St, Austin, TX 78721-1229 | 2020-09-24 |
| 1053922682 | Texas Community Supervision Alternatives, LLC | Counselor | 6400 E Highway 290 Ste 200, Austin, TX 78723-1032 | 2020-08-17 |
| 1285252551 | Fundamentals of Recovery LLC | Counselor | 7509 Menchaca Rd Unit 301, Austin, TX 78745-6062 | 2020-07-13 |
| 1447883384 | Collin Speciale | Counselor | 6115 Mountain Villa Cv, Austin, TX 78731-3518 | 2020-02-19 |
| 1477104511 | Y. Diana Johnson | Counselor | 7901 Cameron Rd Ste 2-139, Austin, TX 78754-3802 | 2019-09-20 |
| 1083189930 | Jettie C Young | Counselor | 4101 Louise Lee Dr, Austin, TX 78725-4005 | 2018-10-08 |
| 1285112581 | Sara Galindo | Counselor | 1409 Sanchez St Unit A, Austin, TX 78702-1638 | 2018-07-30 |
| 1952896961 | Blanca Sanchez-navarro | Counselor | 3407 W Slaughter Ln Ste A, Austin, TX 78748-5715 | 2018-06-22 |
| Find all providers in AUSTIN | ||||
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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.