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Andrea J Davis , CDCA

Peer Specialist β€’ Youngstown, OH

Active NPI 1942065149 Individual Practitioner Female Practitioner
Practice location in NPPES

6 W Federal St Ste 701
Youngstown, OH 445031440

Call 3307973995 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6 W Federal St Ste 701

Youngstown, OH 445031440

Telephone 3307973995
Organization at the Same NPPES Address or Phone
Flying High Inc. Facility NPI 1902206618

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Youngstown and Ohio

38 active clinicians are listed under Peer Specialist with a practice address in Youngstown, OH (3,082 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Youngstown

0% of these 38 clinicians have the CMS telehealth indicator.

0% of these 38 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-04-12
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2024

Peer Specialist

βœ…
NPI Profile Active February 16, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 16, 2024

Registered at 6 W FEDERAL ST STE 701, YOUNGSTOWN, OH 445031440 (Tel: 3307973995)

πŸ“
Business Mailing Address (Initial Record) February 16, 2024

Registered at 6 W FEDERAL ST STE 701, YOUNGSTOWN, OH 445031440 (Tel: 3307973995)

πŸ‘€
Provider Name / Credentials (Initial Record) February 16, 2024

Recorded as ANDREA DAVIS, CDCA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2024

Counselor (license number reported to NPPES: OH CDCA.187376)

🟒
Initial NPI Registration & Enumeration February 16, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1942065149
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 16, 2024
Last Update: April 12, 2024
Sole Proprietor: No

Mailing Address

6 W Federal St Ste 701

Youngstown, OH 445031440

Phone: 3307973995

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.