Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013478759 Individual Practitioner Male Practitioner

Shane Randal Davis

Counselor • Pullman, WA

Professional Overview & Biography Verified Profile Summary

Shane Davis is a registered healthcare professional specializing in Counselor in Pullman, WA. Practice services are available at 340 NE MAPLE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

340 Ne Maple St

Pullman, WA 991634120

Telephone 5093341133
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Pullman, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Pullman, WA (11556 Statewide)

Telehealth Adoption Rate
0.0% 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: 2022-08-24
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.

Adult Companion

NUCC Taxonomy Code: 372600000X

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Luann Nelson , MSW

Social Worker

NPI 1013141704

Master of Social Work

Angela Acosta

Behavior Analyst

NPI 1033865522
Michelle Miller

Counselor - Mental Health

NPI 1043591522
Guadalupe Hart

Behavior Analyst

NPI 1043690084
Arielle Webb

Counselor - Mental Health

NPI 1043833528
NPI 1053878462

Licensed Master Social Worker

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location August 24, 2022

Registered at 340 NE MAPLE ST, PULLMAN, WA 991634120 (Tel: 5093341133)

📍
Updated Business Mailing Address August 24, 2022

Registered at 340 NE MAPLE ST, PULLMAN, WA 991634120 (Tel: 5093341133)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2022

Counselor

NPI Profile Active March 26, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 26, 2019

Registered at 847 NE 19TH AVE STE 100, PORTLAND, OR 972322684 (Tel: 5032380769)

📍
Updated Business Mailing Address March 26, 2019

Registered at PO BOX 8459, PORTLAND, OR 972078459 (Tel: 5032380769)

👤
Provider Name / Credentials Updated March 26, 2019

Recorded as SHANE DAVIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2019

Adult Companion

🟢
Initial NPI Registration & Enumeration March 26, 2019

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: 1013478759
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2019
Last Update: August 24, 2022
Sole Proprietor: Yes

Mailing Address

340 Ne Maple St

Pullman, WA 991634120

Phone: 5093341133

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.