MRS. SHANNON DAVIS KAUFMAN


Address: National Youth Advocate Program, 1020 Woodman Drive Suite 330, Dayton, OH 45432
Phone: 9372530606

MRS. SHANNON DAVIS KAUFMAN (NPI# 1538789284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538789284
Entity Type Individual
Full Name MRS. SHANNON DAVIS KAUFMAN
Practice Address National Youth Advocate Program
1020 Woodman Drive Suite 330
Dayton
OH 45432
Practice Telephone 9372530606
Mailing Telephone 9374965464
Enumeration Date 2020-04-23
Last Update Date 2020-04-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
LCDCIII.161421 OH Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
C.1100468 OH Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH PROFESSIONAL COUNSELING LICENSE C.1100468 01
OH PROFESSIONAL CHEMICAL DEPENDENCY LICENSE LCDCIII.161421 01

Office Location

Street Address NATIONAL YOUTH ADVOCATE PROGRAM
1020 WOODMAN DRIVE SUITE 330
City DAYTON
State OH
Zip Code 45432

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215480504 Heather Iaquinta Registered Nurse 1430 Linden Ave., Suite 390, Dayton, OH 45432 2016-08-03
1346586682 Jeffrey Craig Miller Dentist 4450 Linden Ave., Dayton, OH 45432 2012-12-13
1194997718 Paul G Tarlano Dds Inc Dentist 3621 Dayton-xenia Rd, Beaver Creek, OH 45432 2008-03-25
1306018981 Paul Gerald Tarlano Dentist 3621 Dayton Xenia Rd, Beavercreek, OH 45432 2008-03-24
1104035377 Andrew Brody Occupational Therapy Assistant 1974 North Fairfield Road, Beavercreek, OH 45432 2007-05-22
1952476111 Jeffrey C Miller Dds Inc Dentist 4450 Linden Ave, Dayton, OH 45432 2006-11-22
1194898098 Joseph Warren Shiveley Dentist 1555 Marsetta Drive, Dayton, OH 45432 2006-11-16
1710907597 Integrated Youth Services Inc Clinic/Center 1321 Research Park Drive, Dayton, OH 45432 2006-07-21
1730106790 Lorena L Kvalheim Psychologist 1020 Woodman Street, Suite 300, Dayton, OH 45432 2006-07-16
1174503130 Phyllis A Hughes Counselor 1320 Woodman Drive, Dayton, OH 45432 2006-01-18
Find all providers in zip 45432

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891302188 Five Rivers Health Centers Counselor 120 W Apple St Ste 100, Dayton, OH 45402-2617 2020-09-30
1316571748 Kristy Sue Dillon Counselor 8801 N Main St, Dayton, OH 45415-1385 2020-02-25
1952892135 New Hope New Liberty Counseling, Pllc Counselor 410 E Waring St, Dayton, TX 77535-1833 2018-05-23
1427588060 Daniel Wick Counselor 1 Elizabeth Pl Ste 190, Dayton, OH 45417-3445 2017-06-15
1003341744 Chuckeia Folley Counselor 508 Heather Dr Apt 3, 3, Dayton, OH 45405-1731 2017-05-01
1205374055 Melissa Deaton Cook Counselor Suite D 206 Main Street, Dayton, VA 22821-0910 2017-02-01
1851837041 Jessica White Counselor 727 Grafton Ave, Dayton, OH 45406-5256 2017-01-11
1093186561 Scott Campbell Counselor 11 W Monument Ave, Ste 310, Dayton, OH 45402-1274 2015-10-09
1770959751 Debbie Lyn Gunnels Counselor 327 Misty Oaks Ct, Dayton, OH 45415-1370 2015-08-13
1750775110 Nicole C Duff Counselor Six Patterson Blvd, Sbhi- Cam, Dayton, OH 45402 2015-03-24
Find all providers in DAYTON

Competitor

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City DAYTON
Zip Code 45432

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Dataset Information

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.

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