Organization Active NPI

Devon Davasher, LCSW PLLC

  • Community/Behavioral Health Agency
  • Bentonville, AR
National Provider Identifier
1326738444
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DEVON DAVASHER, LCSW PLLC
Practice address
1200 SE 14TH St Ste 8
Bentonville, AR 72712-7997
Phone
(501) 291-0420
Fax
(866) 728-9492
NPI assigned
May 11, 2023
Last updated
Feb 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Authorized official

Name
Mr. Devon Brandon Davasher, LCSW, CCMNPI 1568895795
Title
Owner/Psychotherapist
Phone
(501) 291-0420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1200 SE 14TH St Ste 8
Bentonville, AR 72712-7997

Mailing address

1200 SE 14TH St.
Ste 8 MB 303
Bentonville, AR 72712
Phone (501) 291-0420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MO, OK3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20230601002119 AR Part B Supplier - Clinic/Group Practice 2264899517 Receives reassigned benefits from 1 practitioner
Practice locations: Little Rock, AR
O20230626001310 MO Part B Supplier - Clinic/Group Practice 2264899517 Receives reassigned benefits from 1 practitioner
Practice locations: Jefferson City, MO
O20230914004174 OK Part B Supplier - Clinic/Group Practice 2264899517 Receives reassigned benefits from 1 practitioner
Practice locations: Stillwater, OK

National Provider Directory

National Provider Directory

Locations

1200 SE 14th St
Ste 8
Bentonville, AR 72712
Phone (479) 273-1803

3605 Missouri Blvd
Jefferson City, MO 65109
Phone (501) 291-0420

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1326738444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SE 14TH ST.",
            "address_2": "STE 8 MB 303",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "72712",
            "telephone_number": "501-291-0420",
            "fax_number": "866-728-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SE 14TH ST STE 8",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127997",
            "telephone_number": "501-291-0420",
            "fax_number": "866-728-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVON DAVASHER, LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "DAVASHER",
        "authorized_official_first_name": "DEVON",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "501-291-0420",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW, CCM"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.