Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dierdre J Davison

Individual provider Professional Counselor · NPI 1780866814

Dierdre J Davison is a Mental Health Counselor in Canton, Ohio. Qualified in 1987, 39 years ago. Practices with Phoenix Rising Behavioral Healthcare and Recovery, Inc, a 30-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
39
Licensed in
OH
In the registry since
2007
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Practice location Address checks out

624 Market Ave N
Canton, OH 44702-1017
Phone: (330) 493-4553
Fax: (330) 493-3761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence E.0001569-SUPV (OH)

Record details

NPI number1780866814
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 30, 2007
Last updated in NPPESFebruary 8, 2024
Certification dateFebruary 8, 2024
Mailing address624 Market Ave. N, Canton, OH 44702-1017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Phoenix Rising Behavioral Healthcare And Recovery, Inc. — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Canton