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

Kelly Susan Davis

Individual provider Marriage & Family Therapist · NPI 1093143554

Kelly Susan Davis is a Marriage and Family Therapist in San Rafael, California. Qualified in 2013, 13 years ago. Practices with Quality Bhs Florida LLC, a 28-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
13
Licensed in
FL
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

900 5th Ave Ste 150
San Rafael, CA 94901-2959
Phone: (415) 457-6964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Marriage & Family Therapist Taxonomy 106H00000X · Licence MT5113 (FL)

Record details

NPI number1093143554
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 21, 2013
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Quality Bhs Florida Llc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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