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PETA-GAYE DAVIS
NPI 1023699915
Counselor - Professional in Manchester, CT

Active since April 21, 2021PECOS Enrolled
444 CENTER ST, MANCHESTER, CT 06040(860) 646-3888(860) 731-5536 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2023, Apr 21, 2021 (2 updates tracked since 2021).

About Peta-gaye Davis NPPES

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

PETA-GAYE DAVIS (NPI 1023699915) is an individual professional provider in Manchester, Connecticut and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1023699915
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NamePETA-GAYE DAVIS
Location Address444 CENTER STManchester, CT 06040-3926
Mailing Address2 Waterside Xing Ste 401Windsor, CT 06095-1588 · (860) 731-5522 · Fax (860) 731-5536
Phone(860) 646-3888
Fax(860) 731-5536
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 21, 2021
Last NPPES UpdateJune 5, 20232 updates tracked since enumeration
NPPES CertifiedJune 5, 2023
✔ NPI 1023699915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselorTaxonomy 101Y00000X
444 CENTER ST, Manchester, CT 06040
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peta-gaye Davis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173083821
PECOS Enrollment IDI20260902002004
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 Reassignments

3

Medicare enrollment records show Peta-gaye Davis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mosaic Community Services, Inc.
251 mi
Mental Health (Including Community Mental Health Center)
4510 WHARF POINT CT
Belcamp, MD 21017
  • Reassigned Medicare billing, Maryland enrollment
  • 143 clinicians in this Medicare group
NPI 1629420583 (410) 420-7292
Way Station Inc
286 mi
Multi-Specialty
9030 STATE ROUTE 108 STE A
Columbia, MD 21045
  • Reassigned Medicare billing, Maryland enrollment
  • 132 clinicians in this Medicare group
NPI 1104914464 (410) 740-1901
Family Services, Inc
305 mi
Child & Adolescent Psychiatry
610 E DIAMOND AVE, SUITE 100
Gaithersburg, MD 20877
  • Reassigned Medicare billing, District of Columbia enrollment
  • 106 clinicians in this Medicare group
NPI 1780641928 (301) 840-2000

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.

SYLVESTER ESANGBEDO
Social Worker
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
ELSA REYES
Social Worker (Clinical)
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
ALIYA E JASENSKY
Counselor
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
LYNDA DYER
Counselor
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
EDITH A DENNIS
Counselor
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
JOANNE LABBADIA
Counselor (Mental Health)
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
SASHAGAYE MARSH
Counselor (Professional)
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 731-5522
CHARLES I HANSEN
Registered Nurse
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 731-5222

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 Peta-gaye Davis's NPI number?

The NPI number for Peta-gaye Davis is 1023699915. It was assigned to this individual provider in the NPPES registry on April 21, 2021.

Where is Peta-gaye Davis located?

Peta-gaye Davis practices at 444 Center St, Manchester, CT 06040. The listed phone number is (860) 646-3888.

What is Peta-gaye Davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Peta-gaye Davis enrolled in Medicare?

Yes. Peta-gaye Davis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Peta-gaye Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peta-gaye Davis reassigns Medicare benefits to 3 organizations: Mosaic Community Services, Inc. (Belcamp, MD), Way Station Inc (Columbia, MD) and Family Services, Inc (Gaithersburg, MD). Each 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 Peta-gaye Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peta-gaye Davis accept?

Health plans from Anthem Blue Cross and Blue Shield list Peta-gaye Davis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peta-gaye Davis was last updated on June 5, 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.