Edward Davis, MS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8331398 Issued in ID

Practice address

119 W Main St
Emmett, ID 83617-2935

Phone

(986) 895-4507

Fax

(208) 277-3133

NPI assigned

Jul 29, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Eddie Davis Professional name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clear Mind Health Services, LLC

  • Professional Counselor
  • Youngsville, PA
  • NPI 1841159464
  Medicare reassignment NPD Authorized official
• Edward Davis Counseling, LLC

  • Professional Counselor
  • Emmett, ID
  • NPI 1942042114

  Mental Health

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1083340137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 W IDAHO BLVD",
            "city": "LETHA",
            "state": "ID",
            "postal_code": "836367706",
            "telephone_number": "986-895-4507",
            "fax_number": "208-277-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W MAIN ST",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836172935",
            "telephone_number": "986-895-4507",
            "fax_number": "208-277-3133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 W Main St",
            "address_purpose": "LOCATION",
            "city": "Youngsville",
            "state": "PA",
            "postal_code": "163711436",
            "country_code": "US",
            "telephone_number": "986-895-4507",
            "fax_number": "208-277-3133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8401 W Idaho Blvd",
            "address_purpose": "LOCATION",
            "city": "Letha",
            "state": "ID",
            "postal_code": "836367706",
            "country_code": "US",
            "telephone_number": "986-895-4507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "EDWARD",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-29",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "8331398",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC019860",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDDIE",
            "last_name": "DAVIS",
            "credential": "MS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Professional Counselor in Emmett, ID
• Providers in Emmett, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.