MRS. KIRSTIE LYNN DAVIS
NPI 1023535705
Counselor - Mental Health in Lynnwood, WA

Active since August 24, 2017PECOS EnrolledAccepts Medicare Assignment
4807 196TH ST SW, LYNNWOOD, WA 98036(425) 835-5850 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 24, 2023, Oct 16, 2023, Aug 24, 2017 (3 updates tracked since 2017).

About Mrs. Kirstie Lynn Davis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KIRSTIE LYNN DAVIS (NPI 1023535705) is an individual mental health provider in Lynnwood, Washington, licensed in Washington (LH61306364) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1023535705
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. KIRSTIE LYNN DAVIS
Location Address4807 196TH ST SWLynnwood, WA 98036-6430
Mailing Address4526 Federal AveEverett, WA 98203-2132 · (425) 349-6200
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 24, 2017
Last NPPES UpdateOctober 24, 20233 updates tracked since enumeration
NPPES CertifiedOctober 24, 2023
✔ NPI 1023535705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LH61306364
4807 196TH ST SW, Lynnwood, WA 98036

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kirstie Lynn Davis is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103367537
PECOS Enrollment IDI20240925001344
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kirstie Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
4526 FEDERAL AVE
Everett, WA 98203
  • Reassigned Medicare billing, Washington enrollment
  • 82 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
4807 196TH ST SW, SUITE 220
LYNNWOOD, WA 98036
Counselor (Mental Health)
4807 196TH ST SW
LYNNWOOD, WA 98036
Counselor (Mental Health)
4807 196TH ST SW, SUITE 100
LYNNWOOD, WA 98036
Counselor (Mental Health)
4807 196TH ST SW, STE 100
LYNNWOOD, WA 98036
Social Worker (Clinical)
4807 196TH ST SW
LYNNWOOD, WA 98036
Counselor
4807 196TH ST SW, SUITE 100
LYNNWOOD, WA 98036
Social Worker (Clinical)
4807 196TH ST SW
LYNNWOOD, WA 98036
Counselor (Mental Health)
4807 196TH ST SW, STE 220
LYNNWOOD, WA 98036

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kirstie Davis's NPI number?

The NPI number for Kirstie Davis is 1023535705. It was assigned to this individual provider in the NPPES registry on August 24, 2017.

Where is Kirstie Davis located?

Kirstie Davis practices at 4807 196th St SW, Lynnwood, WA 98036. The listed phone number is (425) 835-5850.

What is Kirstie Davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kirstie Davis enrolled in Medicare?

Yes. Kirstie Davis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kirstie Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kirstie Davis reassigns Medicare benefits to Compass Health (Everett, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kirstie Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kirstie Davis was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.