TARA L DAVIS (CNP, LPCC-S) – Psychiatric/Mental Health Nurse Practitioner, NPI 1821118530

TARA L DAVIS (CNP, LPCC-S) is a healthcare provider. based in Canton, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP, LPCC-S. They hold a License No. E.0008189-SUPV (OH). The NPI Number for TARA L DAVIS (CNP, LPCC-S) is 1821118530

Main info

Female
8 Years Of Experience
Name
TARA L DAVIS (CNP, LPCC-S)
NPI
1821118530
Phone
(330) 455-0374
Address
625 CLEVELAND AVE NW
Enumeration Date
29 March 2007
Last Update Date
20 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3302448782
Graduation Year
2018 (8 years ago)
PAC ID
3870846611
Group Practice PAC ID
2365517836
Professional Enrollment ID
I20181128003282
Address ID
OH447182300CA4845XNWXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for TARA L DAVIS (CNP, LPCC-S)

  • 625 CLEVELAND AVE NW

    CANTON, OH 447021805

    Phone: (330) 455-0374

    Fax: (330) 453-6716

    Type: Location

  • 1201 S MAIN ST STE 100

    CANTON, OH 447204283

    Phone: (330) 244-8782

    Fax: (330) 244-8795

    Type: Mailing

  • 3745 Whipple Ave NW Ste A

    Canton, OH 447184805

    Phone: (330) 331-7506

    Fax: (234) 285-6767

    Type: Location

  • 29099 Health Campus Dr Ste 280

    Westlake, OH 441455280

    Phone: (216) 293-0282

    Fax: (440) 455-9757

    Type: Location

  • 1207 W STATE ST STE M

    ALLIANCE, OH 446014686

    Phone: (330) 821-8407

    Fax: (330) 821-8506

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 272 Open Payments records for all available years, with a total value of $5,159.

Total Amount is formed as General ($5,159) + Research ($0) + Ownership ($0) = $5,159.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Alkermes, Inc. ($831).

Total Amount

$5,159

General + Research + Ownership

Payments

272

Total payment records

General Amount

$5,159

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-11-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181128003282INurse PractitionerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1711$0
99214Established patient office or other outpatient visit, 30-39 minutes1711$0
View full utilization report →

Insurance plans in this area (ZIP 44702)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365517836View full group profile
NameSpecialtyState
Nurse PractitionerOH
-OH
Mental Health CounselorOH
Clinical PsychologistOH
-OH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Clinical Social WorkerOH

Reviews

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Frequently asked questions

Can I cross-check TARA L DAVIS (CNP, LPCC-S) using NPI 1821118530?
NPI 1821118530 belongs to TARA L DAVIS (CNP, LPCC-S); compare other details if you need extra assurance.
Is TARA L DAVIS (CNP, LPCC-S) shown as active in public data?
Registry records indicate TARA L DAVIS (CNP, LPCC-S) maintains an active NPI.
What kind of doctor is TARA L DAVIS (CNP, LPCC-S)?
TARA L DAVIS (CNP, LPCC-S) is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with TARA L DAVIS (CNP, LPCC-S)?
Directory geography for TARA L DAVIS (CNP, LPCC-S) centers on Canton, Ohio.
Can I trust this NPI listing for TARA L DAVIS (CNP, LPCC-S)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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