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

Mrs. Deatria Davis

Individual provider Mental Health Counselor · NPI 1659641835

Mrs. Deatria Davis is a Marriage and Family Therapist in San Mateo, California. Qualified in 2012, 14 years ago. Practices with Wk Medical Group, a 21-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
14
In the registry since
2012
Specialties on file
4
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Practice location Address checks out

2600 S El Camino Real
San Mateo, CA 94403
Phone: (209) 752-1965
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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
Case Manager/Care Coordinator Taxonomy 171M00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1659641835
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 5, 2012
Last updated in NPPESJuly 20, 2015
Mailing address231 Gee Gee Ave, Los Banos, CA 93635-3278

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Wk Medical Group — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in San Mateo