Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Shane Davison

Counselor - Professional β€’ Rosharon, TX

Active NPI 1902462500 Individual Practitioner Male Practitioner
Practice location in NPPES

9514 Ocean Dr
Rosharon, TX 775831603

Call 2812417163 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

9514 Ocean Dr

Rosharon, TX 775831603

Telephone 2812417163
Organization at the Same NPPES Address or Phone
Scp Davison, Pllc Facility NPI 1467252635

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

NPI first issued

2019

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 Rosharon and Texas

16 active clinicians are listed under Counselor - Professional with a practice address in Rosharon, TX (20,742 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Rosharon

0% of these 16 clinicians have the CMS telehealth indicator.

0% of these 16 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: 2025-03-17
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES TX 78160
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: Texas Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location March 17, 2025

Registered at 9514 OCEAN DR, ROSHARON, TX 775831603 (Tel: 2812417163)

πŸ”„
NPI Profile Reactivated June 10, 2019

Record officially reactivated for active practice on June 10, 2019

πŸ“
Practice Location (Initial Record) June 10, 2019

Registered at 210 LAKE RD STE 700A, LAKE JACKSON, TX 775664988 (Tel: 9792859242)

πŸ“
Business Mailing Address (Initial Record) June 10, 2019

Registered at 9514 OCEAN DR, IOWA COLONY, TX 775831603 (Tel: 2816301113)

πŸ‘€
Provider Name / Credentials (Initial Record) June 10, 2019

Recorded as SHANE DAVISON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2019

Counselor (license number reported to NPPES: TX 78160)

⚠️
NPI Profile Deactivated May 21, 2019

NPPES lists this NPI as deactivated as of May 21, 2019; the reason is not published.

🟒
Initial NPI Registration & Enumeration May 20, 2019

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1902462500
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2019
Last Update: March 17, 2025
Sole Proprietor: No

Mailing Address

9514 Ocean Dr

Iowa Colony, TX 775831603

Phone: 2816301113

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.