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Active NPI 1790451086 Individual Practitioner Female Practitioner

Audrey Anna Davis , RSA

Counselor • Rockford, IL

Professional Overview & Biography Verified Profile Summary

Audrey Davis, RSA is a registered healthcare professional specializing in Counselor in Rockford, IL. Practice services are available at 2704 N MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2704 N Main St

Rockford, IL 611033112

Telephone 8153911000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Rockford, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.8 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
92 Specialists

Practicing in Rockford, IL (3897 Statewide)

Telehealth Adoption Rate
1.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-08-18
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003372855
NPI 1013570431
Jacob Wilson , BA

Counselor - Mental Health

NPI 1023318276

Bachelor of Arts

Nicole Estrada

Social Worker

NPI 1043040173
Robert Laib , LCPC

Counselor - Professional

NPI 1043435910

Licensed Clinical Professional Counselor

Terry Bunger

Registered Nurse - Addiction (Substance Use Disorder)

NPI 1043787419

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 18, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 18, 2021

Registered at 2704 N MAIN ST, ROCKFORD, IL 611033112 (Tel: 8153911000)

📍
Updated Business Mailing Address August 18, 2021

Registered at 2704 N MAIN ST, ROCKFORD, IL 611033112 (Tel: 8157204991)

👤
Provider Name / Credentials Updated August 18, 2021

Recorded as AUDREY DAVIS, RSA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2021

Counselor

🟢
Initial NPI Registration & Enumeration August 18, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790451086
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2021
Last Update: August 18, 2021
Sole Proprietor: No

Mailing Address

2704 N Main St

Rockford, IL 611033112

Phone: 8157204991

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.