Jessica Davis

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

002995 Issued in CT

Practice address

755 Main St Ste 1
Monroe, CT 06468-2830

Phone

(475) 223-1996

NPI assigned

Aug 28, 2014

Last updated

Dec 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Morning Dew Therapy, LLC

  • Adult Mental Health Clinic/Center
  • Monroe, CT
  • NPI 1467069302
  NPD Authorized official
• Brightside Medical, P.C.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1801355482
  NPD (past)

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1861892739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#1113",
            "address_2": "1201 KINGS HIGHWAY STE 2",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "06824",
            "telephone_number": "475-223-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MAIN ST STE 1",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064682830",
            "telephone_number": "475-223-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "002995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina R Cylwik, PT
• Jacqueline M D'Louhy, LCSW
• Anita Daigle, M.S., CCC-SLP
• Danielle Maryott LCSW LLC
• Diana Bee Davis, LMSW, LLC
• Cristina De Souza Menezes, RN
• Assunta Deluca-Bachman, APRN
• Howard Dembin
• Ashley Michele Demenna, LCSW
• Kristen Cocchia Dew, LMFT

• Professional Counselor in Monroe, CT
• Providers in Monroe, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.