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AUDREY ANNA DAVIS RSA
NPI 1790451086
Counselor in Rockford, IL

Active since August 18, 2021
2704 N MAIN ST, ROCKFORD, IL 61103(815) 391-1000 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Audrey Anna Davis Rsa NPPES

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

AUDREY ANNA DAVIS RSA (NPI 1790451086) is an individual counselor in Rockford, Illinois and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1790451086
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameAUDREY ANNA DAVISCredential: RSA
Location Address2704 N MAIN STRockford, IL 61103-3112
Mailing Address2704 N Main StRockford, IL 61103-3112 · (815) 720-4991
Phone(815) 391-1000
Sole ProprietorNo
Enumeration DateAugust 18, 2021
NPPES CertifiedAugust 18, 2021
✔ NPI 1790451086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
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.
2704 N MAIN ST, Rockford, IL 61103
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Other Names 1

Former Name (1)Audrey Anna Ellison Rsa

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.

LINDA HAUGEN
Counselor
2704 N MAIN ST
ROCKFORD, IL 61103
Winnebago County (815) 968-9300
ERIC RUSSELL ONSGARD MSW, LCSW
Social Worker (Clinical)
2704 N MAIN ST
ROCKFORD, IL 61103
Winnebago County (855) 751-4348
KAITLYN O OLSON
Counselor
2704 N MAIN ST
ROCKFORD, IL 61103
Winnebago County (815) 968-9300
BETSY JOANNE DONOVAN LCSW, MSW
Social Worker (Clinical)
2704 N MAIN ST
ROCKFORD, IL 61103
Winnebago County (815) 391-1000
ANDREW KRISCHEL
Counselor
2704 N MAIN ST
ROCKFORD, IL 61103
Winnebago County (815) 968-9300
KAMI MINOR
Counselor
2704 N MAIN ST
ROCKFORD, IL 61103
Winnebago County (815) 968-9300
NATALIE HANNA
Counselor
2704 N MAIN ST
ROCKFORD, IL 61103
Winnebago County (815) 968-9300
LISA LANG-SCHACETT
Social Worker
2704 N MAIN ST
ROCKFORD, IL 61103
Winnebago County (815) 968-9300

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 Audrey Davis's NPI number?

The NPI number for Audrey Davis is 1790451086. It was assigned to this individual provider in the NPPES registry on August 18, 2021. The provider is also known as Audrey Anna Ellison Rsa.

Where is Audrey Davis located?

Audrey Davis practices at 2704 N Main St, Rockford, IL 61103. The listed phone number is (815) 391-1000.

What is Audrey Davis's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Audrey Davis was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.