Kelly Susan Davis
Mental Health Counselor · San Rafael, CA
Kelly Susan Davis is a mental health counselor with a practice address in San Rafael, California, and NPI 1093143554, issued on Oct 21, 2013. Check the license with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kelly Susan Davis
- Primary taxonomy
- Mental Health Counselor 101YM0800X
- License number
- MT5113 FL
Self-reported in NPPES; status is on the state search - Practice location
- 900 5TH Ave, San Rafael, CA 94901
- Phone
- (415) 457-6964
- Enumerated
- Oct 21, 2013
- Record last updated
- Mar 10, 2025
- Medicare enrollment
- Enrolled (PECOS I20250313004076); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest mental health counselor records → All 28,617 in California → Look up another NPI →
Also registered at 900 5TH Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Joey Angeloni, BSMental Health Counselor1982026126
- Dawn BottiniMental Health Counselor1609297415
- Algeo CasulMental Health Counselor1265711733
- Tanya FaircloughMental Health Counselor1902249402
- Amy FaulstichMental Health Counselor1962797456
- Susan Fox, MFTMental Health Counselor1538219795
Verify Kelly Susan Davis in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Quality Bhs Florida LLCTampa, FL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kelly Susan Davis among 28,617 mental health counselor records in California
Kelly Susan Davis is one of 28,617 mental health counselor records with a practice address in California. 1% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 41% of them.
- NPI issued2013 · 41% of these records are older, 54% newer
- In a Medicare fileYes · 1% of these records are
- In the CMS Doctors and Clinicians fileYes · 3% of these records are
- Graduated2013 · median 2015 among the 722 with a school on file
- Record last updated2025 · 71% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YM0800X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
318 mental health counselor records list a practice address in San Rafael
They are 318 of the 3,159 NPPES records with a practice address in San Rafael, and 28,617 mental health counselor records in California.
All 28,617 in California → Every provider in San Rafael → Mental Health Counselor nationwide →
The 8 mental health counselor records with the nearest ZIP codes
- Robert Bordeaux, MFTISan Rafael, CA 949011629173505
- Carole Christensen, MFTSan Rafael, CA 949011336223676
- Nancy Farquhar, PEER CASE MANAGERSan Rafael, CA 949011902915903
- Joel Fay, PSYDSan Rafael, CA 949011851317762
- Nancy Janko, MFTISan Rafael, CA 949011063576411
- Marilyn Mazer, LMFTSan Rafael, CA 949011295758209
- Carlos Molina, ED.D., MFTSan Rafael, CA 949011902986714
- Donald MooreSan Rafael, CA 949011124182969
Common questions
What is Kelly Susan Davis's NPI number?
Kelly Susan Davis's National Provider Identifier (NPI) is 1093143554, issued on Oct 21, 2013. An NPI identifies a provider in billing; it is not a license.
Where is Kelly Susan Davis located?
The NPPES record lists a practice address at 900 5TH Ave, San Rafael, CA, 94901. Phone: (415) 457-6964. Providers update this record themselves, so call before visiting.
How can I verify Kelly Susan Davis's license?
Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.