Jamie Davis
Individual provider Active NPI Mental Health Counselor · Pendleton, IN
NPI 1992596688 · NPPES record last updated May 13, 2025
Key facts
- NPI
- 1992596688
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 212 Elderberry CT
Pendleton, IN 46064-5400 - Phone
- (765) 635-3184
- NPI assigned
- May 13, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
212 Elderberry CT
Pendleton, IN 46064-5400
Mailing address
212 Elderberry CT
Pendleton, IN 46064-5400
Phone (765) 635-3184
Other providers in Pendleton, IN
- Mitchell Brian Cobb
- Community Hospitals of Indiana Inc
- Daryl V Cowan
- Catheran Alice Crafton
- Megan Daberko
- Dennis L. Fast MD Inc
- Marya Jane Doerr
- Angela Drake
- Kimberly Driver
- Courtney Renee Edmundson
All providers in Pendleton, IN · Mental Health Counselor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.