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DIERDRE J DAVISON
NPI 1780866814
Counselor - Professional in Canton, OH

Active since November 30, 2007PECOS EnrolledAccepts Medicare Assignment
624 MARKET AVE. N., CANTON, OH 44702(330) 493-4553(330) 493-3761 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2024, Jul 22, 2021 (2 updates tracked since 2021).

About Dierdre J Davison NPPES

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

DIERDRE J DAVISON (NPI 1780866814) is an individual professional provider in Canton, Ohio, licensed in Ohio (E.0001569-SUPV) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1780866814
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDIERDRE J DAVISON
Location Address624 MARKET AVE. N.Canton, OH 44702-1017
Mailing Address624 Market Ave. NCanton, OH 44702-1017 · (330) 493-4553 · Fax (330) 493-3761
Phone(330) 493-4553
Fax(330) 493-3761
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateNovember 30, 2007
Last NPPES UpdateFebruary 8, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2024
✔ NPI 1780866814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · E.0001569-SUPV
624 MARKET AVE. N., Canton, OH 44702
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dierdre J Davison is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022538636
PECOS Enrollment IDI20250226002857
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

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

JUSTIN B MADISON PC
Counselor
624 MARKET AVE. N.
CANTON, OH 44702
Stark County (330) 493-4553
ELIZABETH R WILSON LPN
Licensed Practical Nurse
624 MARKET AVE. N.
CANTON, OH 44702
Stark County (330) 493-4553
MISS CHRISTINA M SCHRADER-WHITE
Counselor (Addiction (Substance Use Disorder))
624 MARKET AVE. N.
CANTON, OH 44702
Stark County (330) 493-4553
MS. SUONNA M BLANCHARD PCC
Counselor (Mental Health)
624 MARKET AVE. N.
CANTON, OH 44702
Stark County (330) 493-4553
KACI N LAPP PC
Counselor (Professional)
624 MARKET AVE. N.
CANTON, OH 44702
Stark County (330) 493-4553
NICOLE M WHITSEL PC
Counselor (Professional)
624 MARKET AVE. N.
CANTON, OH 44702
Stark County (330) 493-4553
SHONDA KAYE HAYMAKER CNP
Registered Nurse (Psychiatric/Mental Health)
624 MARKET AVE. N.
CANTON, OH 44702
Stark County (330) 493-4553
SUSAN J MCCOLLUM PC
Counselor (Professional)
624 MARKET AVE. N.
CANTON, OH 44702
Stark County (330) 493-4553

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 Dierdre Davison's NPI number?

The NPI number for Dierdre Davison is 1780866814. It was assigned to this individual provider in the NPPES registry on November 30, 2007.

Where is Dierdre Davison located?

Dierdre Davison practices at 624 Market Ave. N., Canton, OH 44702. The listed phone number is (330) 493-4553.

What is Dierdre Davison's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Dierdre Davison enrolled in Medicare?

Yes. Dierdre Davison is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dierdre Davison accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and SummaCare list Dierdre Davison as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dierdre Davison was last updated on February 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.