IKE LENARD DAVIS JR.
NPI 1023764594
Counselor - Mental Health in Vallejo, CA

Active since February 23, 2022
160 GLEN COVE MARINA RD E STE 102, VALLEJO, CA 94591(707) 648-2000 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2024, Dec 11, 2024, Aug 14, 2023 and 3 more (6 updates tracked since 2022).

About Ike Lenard Davis Jr. NPPES

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

IKE LENARD DAVIS JR. (NPI 1023764594) is an individual mental health provider in Vallejo, California, licensed in California (18224) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1023764594
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameIKE LENARD DAVIS JR.
Location Address160 GLEN COVE MARINA RD E STE 102Vallejo, CA 94591-7290
Mailing Address160 Glen Cove Marina Rd E Ste 102Vallejo, CA 94591-7290 · (707) 648-2000
Sole ProprietorNo
Enumeration DateFebruary 23, 2022
Last NPPES UpdateDecember 18, 20246 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
NPI 1023764594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CA · 18224
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
160 GLEN COVE MARINA RD E STE 102, Vallejo, CA 94591

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.

Community Health Worker
160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591
Day Training/Habilitation Specialist
160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591
Case Manager/Care Coordinator
160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591
Day Training/Habilitation Specialist
160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591
Rehabilitation Practitioner
160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591
Day Training/Habilitation Specialist
160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591
Day Training/Habilitation Specialist
160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591
Rehabilitation Practitioner
160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591

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 Ike Davis's NPI number?

The NPI number for Ike Davis is 1023764594. It was assigned to this individual provider in the NPPES registry on February 23, 2022.

Where is Ike Davis located?

Ike Davis practices at 160 Glen Cove Marina Rd E Ste 102, Vallejo, CA 94591. The listed phone number is (707) 648-2000.

What is Ike Davis's specialty?

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

When was this NPI record last updated?

The NPPES record for Ike Davis was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.