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JODY DAVIDSON LLC
NPI 1033878392
Counselor - Mental Health in Lake Charles, LA

Active since December 14, 2021
1856 EASY ST, LAKE CHARLES, LA 70605(337) 794-1141 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 24, 2025, Jan 12, 2022, Dec 14, 2021 (3 updates tracked since 2021).

About Jody Davidson Llc NPPES

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

JODY DAVIDSON LLC (NPI 1033878392) is a healthcare organization registered as a mental health in Lake Charles, Louisiana and active in the NPI registry since December 2021. The organization lists Jody Davidson, Owner, as its authorized official.

NPPES Registry Identity

NPI1033878392
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameJODY DAVIDSON LLC
Location Address1856 EASY STLake Charles, LA 70605-0418
Mailing Address1856 Easy StLake Charles, LA 70605-0418 · (337) 794-1141
Phone(337) 794-1141
Organization SubpartNo
Authorized OfficialJody DavidsonOwner · (337) 794-1141
Enumeration DateDecember 14, 2021
Last NPPES UpdateNovember 24, 20253 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
✔ NPI 1033878392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1856 EASY ST, Lake Charles, LA 70605
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jody Davidson Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateLouisianaEnrollment IDO20220112000847Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jody Davidson LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jody Davidson, L.C.S.W.
Clinical Social Worker
NPI 1548457369
1513 22ND ST
Lake Charles, LA 70601
(337) 794-1141
✔ PECOS✔ Accepts Medicare4.9 mi

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

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 Jody Davidson LLC's NPI number?

The NPI number for Jody Davidson LLC is 1033878392. It was assigned to this organization in the NPPES registry on December 14, 2021.

Where is Jody Davidson LLC located?

Jody Davidson LLC is located at 1856 Easy St, Lake Charles, LA 70605. The listed phone number is (337) 794-1141.

What is Jody Davidson LLC's specialty?

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

Is Jody Davidson LLC enrolled in Medicare?

Yes. Jody Davidson LLC is registered in the Medicare PECOS enrollment system.

When is Jody Davidson LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Louisiana, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Jody Davidson LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Jody Davidson LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jody Davidson LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Jody Davidson LLC 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 Jody Davidson LLC was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.