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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MADISON R DAVE BS/QMHS
NPI 1205501707
Counselor - Mental Health in Moraine, OH

Active since August 16, 2021
3095 KETTERING BLVD, MORAINE, OH 45439(937) 293-8300 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 10, 2026, Sep 28, 2022, Aug 16, 2021 (3 updates tracked since 2021).

About Madison R Dave Bs/qmhs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADISON R DAVE BS/QMHS (NPI 1205501707) is an individual mental health provider in Moraine, Ohio, licensed in Ohio (APP-001027850) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1205501707
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMADISON R DAVECredential: BS/QMHS
Location Address3095 KETTERING BLVDMoraine, OH 45439-1983
Mailing Address3095 Kettering BlvdMoraine, OH 45439-1983 · (937) 293-8300
Phone(937) 293-8300
Sole ProprietorNo
Enumeration DateAugust 16, 2021
Last NPPES UpdateAugust 10, 20263 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
✔ NPI 1205501707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OH · APP-001027850
3095 KETTERING BLVD, Moraine, OH 45439
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELISSA NICHOLE HOSTETTER
Social Worker
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 534-1384
HOLLY MICHELLE VADNAIS
Case Manager/Care Coordinator
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 293-8300
ELIZABETH LIAPIS LISW-SUPV
Social Worker (Clinical)
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 293-8300
KIMBERLY YATES
Case Manager/Care Coordinator
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 293-8300
LOGAN BRUNO
Case Manager/Care Coordinator
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 293-8300
PAIGE DICKERSON
Social Worker
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 293-8300
MISS WILLIETTE ANDERSON
Case Manager/Care Coordinator
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 991-4817
HANNAH MILLER
Case Manager/Care Coordinator
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 534-1554

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madison Dave's NPI number?

The NPI number for Madison Dave is 1205501707. It was assigned to this individual provider in the NPPES registry on August 16, 2021.

Where is Madison Dave located?

Madison Dave practices at 3095 Kettering Blvd, Moraine, OH 45439. The listed phone number is (937) 293-8300.

What is Madison Dave's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Madison Dave was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.