Jennifer Marie Davis, MSED., LIMHP
Individual provider Active NPI Mental Health Counselor · Doniphan, NE
NPI 1982880779 · NPPES record last updated Apr 7, 2014
Key facts
- NPI
- 1982880779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 1132 (NE)
- Practice address
- 102 N 5TH St
Doniphan, NE 68832-9810 - Phone
- (308) 380-7700
- NPI assigned
- Jan 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 10, 2024 through May 10, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8510 | NH | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1132 | NE | Yes |
| Mental Health Counselor | 101YM0800X | 8510 | NH |
Addresses
Primary practice location
102 N 5TH St
Doniphan, NE 68832-9810
Mailing address
102 N 5TH St
P.O. Box 25
Doniphan, NE 68832-9810
Phone (308) 380-7700
Other providers in Doniphan, NE
- Adaptive Innovation Services LLC
- Cardinal Chiropractic Rehab & Wellness LLC
- Lisa J Delka
- Doniphan Pharmacy LLC
- Doniphan-Trumbull School
- Ianna Angelina Fill
- Wendy Corrine Fjeldheim
All providers in Doniphan, NE · Mental Health Counselor in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.