SHAKELCIA DAVIS (NPI# 1932741089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932741089 |
| Entity Type | Individual |
| Full Name | SHAKELCIA DAVIS |
| Practice Address |
2100 Charlie Hall Blvd Charleston SC 29414-5832 |
| Practice Telephone | 8438524100 |
| Mailing Telephone | 8438524100 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2020-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE | 3335 | 01 |
| SC | 1760596480 | 05 |
| Street Address |
2100 CHARLIE HALL BLVD |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-5832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184617714 | Rebecca J Whitt | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2005-08-30 |
| 1104426469 | Sara T Hansen | Social Worker | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-10-27 |
| 1770182776 | Nicholas Anthony Germano | Registered Nurse | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-10-21 |
| 1548868458 | Teresa Blake | Registered Nurse | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-10-13 |
| 1285232181 | Autumn Porter | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-10-13 |
| 1083221097 | Ashley M Parker | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-09-24 |
| 1457968463 | Marlayah Legare | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-09-24 |
| 1679180681 | Cecile A Piriz | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-09-24 |
| 1265047872 | Frederick Laugisch | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-09-10 |
| 1144831512 | Whitney M Fee | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| 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 |
|---|---|---|---|---|
| 1881202778 | Sarah Deitz Ratliff | Counselor | 300 Capitol St Ste 1610, Charleston, WV 25301-1737 | 2020-07-17 |
| 1194341487 | Elizabeth Manigault | Counselor | 763 Meeting St Ste 200, Charleston, SC 29403-3146 | 2020-06-22 |
| 1689201196 | Chelsea Michelle Green | Counselor | 1812 Banbury Rd, Charleston, SC 29414-5941 | 2020-03-25 |
| 1437642139 | Timothy Charles Babick | Counselor | 801 Smith St Apt 16, Charleston, WV 25301-1249 | 2018-06-07 |
| 1497247001 | Jerica Wesley | Counselor | 300 Kenton Dr Ste 200, Charleston, WV 25311-1266 | 2018-05-31 |
| 1225557440 | Ravenel Therapeutic Counseling, LLC | Counselor | 29 Gamecock Ave Ste 100, Charleston, SC 29407-3366 | 2017-09-19 |
| 1780117804 | Amy Jackson | Counselor | 3590 Mary Ader Ave Apt 1021, Charleston, SC 29414-5792 | 2017-04-05 |
| 1013375708 | Avondale Therapy | Counselor | 845 Savannah Hwy, Suite 1c, Charleston, SC 29407-7202 | 2016-02-09 |
| 1366809097 | Kailee Place | Counselor | 22 Windermere Blvd Ste B, Charleston, SC 29407-7492 | 2016-01-26 |
| 1295075778 | Giovonnia Mccall | Counselor | 1521 Larry St, Charleston, SC 29406-3716 | 2013-02-21 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
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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.