Kelly Susan Davis
NPI 1093143554ActiveIndividual· Counselor, Mental Health· San Rafael, CA
Counselor, Mental Health with Quality Bhs Florida LLC, practicing in San Rafael, California. Enrolled in Medicare as practitioner - marriage and family therapist.
Overview
| NPI | 1093143554 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 21, 2013 |
| Last updated in NPPES | Mar 10, 2025 |
| Certified by provider | Mar 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
| Marriage & Family Therapist | 106H00000X | MT5113 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Marriage and Family Therapist (FL) |
|---|
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Marriage And Family Therapist |
Medical group
- Quality Bhs Florida LLCTampa, FL · 24 clinicians
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