Shane Randal Davis
Counselor β’ Pullman, WA
340 Ne Maple St
Pullman, WA 991634120
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
340 Ne Maple St
Pullman, WA 991634120
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Counselor: NPPES taxonomy is a reported classification, not proof of board certification.
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, βDoes your provider accept Medicare as full payment?β
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.
Compared with the same specialty in Pullman and Washington
2 active clinicians are listed under Counselor with a practice address in Pullman, WA (11,352 in Washington).
Addresses are self-reported to NPPES and may be out of date.
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: 2022-08-24NUCC 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.
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.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Social Worker
Social Worker
Master of Social Work
Social Worker
Master of Social Work
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 340 NE MAPLE ST, PULLMAN, WA 991634120 (Tel: 5093341133)
Registered at 340 NE MAPLE ST, PULLMAN, WA 991634120 (Tel: 5093341133)
Counselor
NPI status registered as active in NPPES database
Registered at 847 NE 19TH AVE STE 100, PORTLAND, OR 972322684 (Tel: 5032380769)
Registered at PO BOX 8459, PORTLAND, OR 972078459 (Tel: 5032380769)
Recorded as SHANE DAVIS
Adult Companion
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
340 Ne Maple St
Pullman, WA 991634120
Phone: 5093341133