Jordan Davis

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

357 Kansas Ave SE
Huron, SD 57350-2517

Phone

(605) 352-8596

Fax

(605) 352-7001

NPI assigned

Jul 9, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Rising Hope Together, Inc

  • Mental Health Counselor
  • Pierre, SD
  • NPI 1942899679
  NPD
• Community Counseling Service

  • Mental Health Counselor
  • Huron, SD
  • NPI 1932167277
  NPD (past)

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1821640087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S HENRY ST",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575014515",
            "telephone_number": "605-223-1510",
            "fax_number": "605-494-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 KANSAS AVE SE",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502517",
            "telephone_number": "605-352-8596",
            "fax_number": "605-352-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-09",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ccs-sd.org",
            "affiliation": "N",
            "address_1": "357 Kansas Ave SE",
            "city": "Huron",
            "state": "SD",
            "country_code": "US",
            "postal_code": "573502517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dakota Ear Nose & Throat Clinic
• Dakota Energy Cooperative Inc
• Dakota Family Dentistry, Prof. LLC
• Dakota Home Care LLC
• Dale a Gibson DDS PA
• Autumn Joy Denekamp
• Mary Dittmer
• Lucinda Kay Doyle, NP
• Drake and Ankenbrandt Pediatric Dentistry of Huron PC
• Tammy T Dramstad, MSW, LCSW

• Mental Health Counselor in Huron, SD
• Providers in Huron, SD by specialty
• Mental Health Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.