JUSTIN DAVIS (NPI# 1417486101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417486101 |
| Entity Type | Individual |
| Full Name | JUSTIN DAVIS |
| Credential | LGP |
| Practice Address |
12502 Willowbrook Rd Ste 380 Cumberland MD 21502-6592 |
| Practice Telephone | (240) 964-8585 |
| Practice Fax Number | 2409648586 |
| Mailing Telephone | 2409648585 |
| Mailing Fax Number | 2409648586 |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2017-06-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LGP6648 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184258790 | Justin B Davis | Chiropractor | 52 Heritage Ct, Woodcliff Lake, NJ 07677-8347 | 2020-02-24 |
| 1770984320 | Justin Davis | Occupational Therapist | 1719 Chapel Tree Cir, Brandon, FL 33511-9326 | 2014-09-12 |
| 1811300718 | Justin N Davis | Nurse Anesthetist, Certified Registered | 2610 S Rockingchair Rd, Paragould, AR 72450-9609 | 2014-06-09 |
| 1609189513 | Justin Michael Davis | Chiropractor | 9370 Sw Greenburg Rd # 605, Tigard, OR 97223-5442 | 2010-07-20 |
| 1114240843 | Justin Elijah Davis | Chiropractor | 607w Chandler St, Arlington, MN 55307-2127 | 2010-03-09 |
| 1043853302 | Justin William Davis | Nurse Practitioner | 110 W John Rowan Blvd, Bardstown, KY 40004-2663 | 2019-10-18 |
| 1437714375 | Justin Davis | Student in an Organized Health Care Education/Training Program | 600 Highland Ave, Madison, WI 53792-0001 | 2019-05-06 |
| 1437631330 | Justin Davis | Nurse Practitioner | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2018-09-06 |
| 1710464094 | Justin Davis | Behavioral Analyst | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2018-07-19 |
| 1205327525 | Justin W Davis | Surgery | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2018-05-22 |
| Street Address |
12502 WILLOWBROOK RD STE 380 |
| City | CUMBERLAND |
| State | MD |
| Zip Code | 21502-6592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679824239 | Mohammad Ayan Ghairatmal | Psychiatry & Neurology | 12502 Willowbrook Rd Ste 380, Cumberland, MD 21502-6592 | 2012-09-24 |
| 1801434501 | Andrea Marie Mamich | Social Worker | 12502 Willowbrook Rd Ste 380, Cumberland, MD 21502-6592 | 2019-12-13 |
| 1649827742 | Brianne Perez | Counselor | 12502 Willowbrook Rd Ste 380, Cumberland, MD 21502-6592 | 2019-08-22 |
| 1174032973 | Ashley Harold | Counselor | 12502 Willowbrook Rd Ste 380, Cumberland, MD 21502-6592 | 2017-09-25 |
| 1730635988 | Sahar Alee Koloukani | Psychiatry & Neurology | 12502 Willowbrook Rd Ste 380, Cumberland, MD 21502-6592 | 2016-08-28 |
| 1366860611 | Rebecca Sokal | Psychiatry & Neurology | 12502 Willowbrook Rd Ste 380, Cumberland, MD 21502-6592 | 2014-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1669934212 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 701 Park Street, Queen City Centre, Cumberland, MD 21502 | 2019-04-03 |
| 1114497070 | Dianne Liller | Speech-Language Pathologist | 200 Massachusetts Ave, Cumberland, MD 21502 | 2018-12-04 |
| 1386111409 | Rebecca Anne Stewart | Counselor | 217 Glenn Street, Suite 401, Cumberland, MD 21502 | 2018-10-26 |
| 1396222998 | Crystal Lynne Walls | Nurse Practitioner | Western Maryland Health System, 12500 Willowbrook Rd, Cumberland, MD 21502 | 2018-07-26 |
| 1841796554 | Joan Kathleen Hoban | Speech-Language Pathologist | Potomac Behavioral and Occupational Therapy, 240 Henderson Ave., Cumberland, MD 21502 | 2018-04-02 |
| 1760984447 | Christine T. Haines | Social Worker | 907 Seton Drive, Cumberland, MD 21502 | 2018-03-08 |
| 1033632328 | Nicole Mabury | Counselor | 12501 Willowbrook Road, Cumberland, MD 21502 | 2017-07-19 |
| 1073042479 | The Lions Center for Rehabilitation and Extended Care, Inc. | Skilled Nursing Facility | 901 Seton Drive, Cumberland, MD 21502 | 2017-06-08 |
| 1912446816 | Marina Hurst | Counselor | 10102 County Club Road Se, Cumberland, MD 21502 | 2017-02-13 |
| Find all providers in zip 21502 | ||||
| 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 |
|---|---|---|---|---|
| 1093282592 | Nathan Gregory Maust | Counselor | 14300 Mcmullen Hwy Sw, Cumberland, MD 21502-5664 | 2018-11-01 |
| 1386111409 | Rebecca Anne Stewart | Counselor | 217 Glenn Street, Suite 401, Cumberland, MD 21502 | 2018-10-26 |
| 1497114375 | Daryl Fitzgerald | Counselor | 927 Jenkins Church Rd, Cumberland, VA 23040-2036 | 2016-02-19 |
| 1639562655 | Miahs House LLC | Counselor | 85 Joggers Trl, Cumberland, VA 23040-2610 | 2015-03-16 |
| 1053886903 | Kelli Wills | Counselor | 118 Valley St, Cumberland, MD 21502-2141 | 2018-10-08 |
| 1225586654 | Heather Beeman | Counselor | 507 Henderson Ave, Cumberland, MD 21502-1562 | 2016-09-14 |
| 1558779553 | Becky Capel | Counselor | 610 Memorial Ave, Cumberland, MD 21502-3767 | 2014-07-23 |
| 1689876856 | Richard Figueira | Counselor | 3353 Mendon Rd, Cumberland, RI 02864-2122 | 2007-06-01 |
| 1013038355 | Patricia Barry | Counselor | 1110 7th Ave, Cumberland, WI 54829-9138 | 2007-04-03 |
| 1629119581 | Cecilia Zappa | Counselor | 1110 7th Ave, Cumberland, WI 54829-9138 | 2007-02-12 |
| Find all providers in CUMBERLAND | ||||
| City | CUMBERLAND |
| Zip Code | 21502 |
Please comment or provide details below to improve the information on JUSTIN DAVIS.
| 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.