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Active NPI 1780866814 Individual Practitioner Female Practitioner

Dierdre J Davison

Counselor - Professional • Canton, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dierdre Davison is a certified Counselor - Professional practicing in Canton, OH. With approximately 39 years of clinical experience since completing medical education in 1987, Dierdre Davison delivers high-quality medical care to the local community at 624 MARKET AVE. N..

Dierdre Davison is affiliated with Phoenix Rising Behavioral Healthcare And Recovery, Inc. and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

624 Market Ave. N.

Canton, OH 447021017

Telephone 3304934553
Fax 3304933761
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Canton, OH

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
39 Yrs +25.1 yrs vs City Avg
City Avg: 13.9 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
316 Specialists

Practicing in Canton, OH (6923 Statewide)

Telehealth Adoption Rate
2.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Davison (39 Years) 39 Yrs
Canton Specialty Average (13.9 Years) 13.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-02-08
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH E.0001569-SUPV

Definition to come...

Hospital & Practice Group Affiliations

Phoenix Rising Behavioral Healthcare And Recovery, Inc.

624 Market Ave N, Canton, OH 447021017

Phone: 3304934553

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003552464
Laura Elliott-Heckaman , BA

Case Manager/Care Coordinator

NPI 1013420082

Bachelor of Arts

Deborah Vaughan , LPC

Counselor - Mental Health

NPI 1043840226

Licensed Professional Counselor

Terri Hudson

Social Worker

NPI 1053183574
NPI 1053766618
Hollie Pena

Case Manager/Care Coordinator

NPI 1053891515

Career & Practice History Timeline

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

8 Historical Events
👤
Provider Name / Credentials Updated February 08, 2024

Recorded as DIERDRE DAVISON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2024

Counselor (License #E.0001569-SUPV in OH)

NPI Profile Active April 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 14, 2016

Registered at 624 MARKET AVE. N., CANTON, OH 447021017 (Tel: 3304934553)

📍
Updated Business Mailing Address April 14, 2016

Registered at 624 MARKET AVE. N, CANTON, OH 447021017 (Tel: 3304934553)

👤
Provider Name / Credentials Updated April 14, 2016

Recorded as DIERDRE DAVISON, LPCCS/LICD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2016

Counselor (License #S4691 in OH)

🟢
Initial NPI Registration & Enumeration November 30, 2007

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: 1780866814
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2007
Last Update: February 08, 2024
Sole Proprietor: No

Mailing Address

624 Market Ave. N

Canton, OH 447021017

Phone: 3304934553

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.