JENNIFER RENEE DAVIS (NPI# 1114115888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114115888 |
| Entity Type | Individual |
| Full Name | JENNIFER RENEE DAVIS |
| Credential | LMFT |
| Practice Address |
2817 Crow Canyon Rd Ste 103 San Ramon CA 94583-1639 |
| Practice Telephone | 9252987172 |
| Practice Fax Number | 9252081173 |
| Mailing Telephone | 9252987172 |
| Mailing Fax Number | 9252081173 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2015-12-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MFC49934 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423559 | Jennifer Annette Davis | Registered Nurse | 330 Harvest Mdw, Temple, TX 76502-5060 | 2020-09-29 |
| 1225640667 | Jennifer Lea Davis | Technician | 47 Hall St, Philippi, WV 26416-1292 | 2020-08-18 |
| 1285245688 | Jennifer Rae Davis | Technician | 139 Gauley Ave, Cowen, WV 26206-8690 | 2020-08-11 |
| 1053961441 | Jennifer Davis | Massage Therapist | 3161 Howell Mill Rd Nw Ste 330, Atlanta, GA 30327-2133 | 2019-09-17 |
| 1922579432 | Jennifer Jean Davis | Art Therapist | 165 Beach 116th St, Rockaway Park, NY 11694-2411 | 2018-12-09 |
| 1265949200 | Jennifer Jennings Davis | Nurse Practitioner | 2451 Fillingim Street Suite 10-i, Mobile, AL 36617-2293 | 2017-12-29 |
| 1477912053 | Jennifer Davis | Speech-Language Pathologist | 301 Toftrees Ave, 345, State College, PA 16803-2074 | 2016-02-11 |
| 1427421908 | Jennifer Davis | Counselor | 925 Country Club Rd, Argyle, TX 76226 | 2015-11-05 |
| 1235501172 | Jennifer Lynn Davis | Home Health Aide | 139 Johnson St, Marion, OH 43302-3316 | 2015-10-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| Street Address |
2817 CROW CANYON RD STE 103 |
| City | SAN RAMON |
| State | CA |
| Zip Code | 94583-1639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295375475 | Angel Beatrice Mckneely | Behavior Technician | 3150 Crow Canyon Place, Suite 110, San Ramon, CA 94583 | 2020-01-15 |
| 1205302247 | Asma Parisa Rezaye | Behavior Technician | 4708 Norris Canyon Rd, Unit 201, San Ramon, CA 94583 | 2018-10-17 |
| 1679055461 | Mary Martineau | Speech-Language Pathologist | 210 Porter Dr Ste 120, San Ramon, CA 94583 | 2018-08-29 |
| 1336631332 | Alison Jean Barnes | Behavior Technician | Goals for Autism, 1 Crow Canyon Court, San Ramon, CA 94583 | 2018-06-05 |
| 1730671975 | Michael Federico | Pharmacist | 2735 Ascot Drive, San Ramon, CA 94583 | 2018-06-04 |
| 1508384843 | Donor Network West | Organ Procurement Organization | 12667 Alcosta Blvd., Suite 500, San Ramon, CA 94583 | 2017-09-07 |
| 1265950141 | Danielle Lustig Fitch | Marriage & Family Therapist | 3180 Crown Canyon Pl. Ste 140, San Ramon, CA 94583 | 2017-08-31 |
| 1386166205 | Park Place Ambulatory Surgery Center | Orthopaedic Surgery | 100 Park Place, Suite 100, San Ramon, CA 94583 | 2017-07-12 |
| 1952822991 | Virginia Rutledge Mosby | Marriage & Family Therapist | 3180 Crow Canyon Place #140, San Ramon, CA 94583 | 2017-06-29 |
| 1437684784 | Nakhla Dental Group | Dentist | Crow Canyon Dental, 2821 Crow Canyon Road #200, San Ramon, CA 94583 | 2017-04-25 |
| Find all providers in zip 94583 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205492758 | Kristie Potter | Counselor | 1 Crow Canyon Ct Ste 110, San Ramon, CA 94583-1641 | 2019-05-09 |
| 1427529288 | Elena Gorrow Licensed Clinical Social Worker, Inc. | Counselor | 2551 San Ramon Valley Blvd Ste 246, San Ramon, CA 94583-1664 | 2018-12-05 |
| 1538668744 | Vanessa Varrelman | Counselor | 18 Crow Canyon Ct Ste 225, San Ramon, CA 94583-1740 | 2018-02-03 |
| 1730581935 | Christina Reyes | Counselor | 231 Market Pl, San Ramon, CA 94583-4743 | 2014-09-18 |
| 1912253717 | Wesley Bell | Counselor | 2475 Talavera Dr, San Ramon, CA 94583-2232 | 2012-07-30 |
| 1164605739 | Lars Gabriel Eriksson | Counselor | 3180 Crow Canyon Pl Ste 140, San Ramon, CA 94583-1339 | 2007-12-06 |
| 1558341545 | Gloria Jean Davidson | Counselor | 2682 Bishop Dr, Suite 211, San Ramon, CA 94583-4450 | 2006-01-18 |
| 1275149759 | Psychology Matters, PC | Counselor | 2010 Crow Canyon Pl Ste 100, San Ramon, CA 94583-1344 | 2020-09-19 |
| 1255947024 | Natasha Griffin | Counselor | 3180 Crow Canyon Pl Ste 140, San Ramon, CA 94583-1339 | 2020-09-17 |
| 1669085858 | Andrew Stephen Huber | Counselor | 3180 Crow Canyon Pl Ste 140, San Ramon, CA 94583-1339 | 2020-08-26 |
| Find all providers in SAN RAMON | ||||
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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.