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KIMBERLY DAVIS LPC
NPI 1063130029
Counselor - Professional in Southaven, MS

Active since August 16, 2022PECOS Enrolled
1310 GOODMAN RD E, SOUTHAVEN, MS 38671(662) 470-5433(501) 745-2378 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2022, Aug 17, 2022 (2 updates tracked since 2022).

About Kimberly Davis Lpc NPPES

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

KIMBERLY DAVIS LPC (NPI 1063130029) is an individual professional provider in Southaven, Mississippi, licensed in Mississippi (2854) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063130029
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIMBERLY DAVISCredential: LPC
Location Address1310 GOODMAN RD ESouthaven, MS 38671-9542
Mailing Address1310 Goodman Rd ESouthaven, MS 38671-9542 · (662) 470-5433 · Fax (501) 745-2378
Phone(662) 470-5433
Fax(501) 745-2378
Sole ProprietorYes
Enumeration DateAugust 16, 2022
Last NPPES UpdateAugust 23, 20222 updates tracked since enumeration
NPPES CertifiedAugust 23, 2022
✔ NPI 1063130029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MS · 2854
1310 GOODMAN RD E, Southaven, MS 38671
Open in Google Maps ↗

Other Identifiers 1

Other2854MS · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Davis Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 6

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

STEPHANIE ARMSTRONG
Counselor (Professional)
1310 GOODMAN RD E
SOUTHAVEN, MS 38671
Desoto County (662) 397-1502
TAMILA BAKER
Counselor (Professional)
1310 GOODMAN RD E
SOUTHAVEN, MS 38671
Desoto County (662) 470-5433
BRIGHTER DAYS COUNSELING LLC
Counselor (Professional)
1310 GOODMAN RD E
SOUTHAVEN, MS 38671
Desoto County (901) 849-6032
SOULSHINE COUNSELING AND WELLNESS, LLC
Counselor (Mental Health)
1310 GOODMAN RD E
SOUTHAVEN, MS 38671
Desoto County (662) 470-5433
MARY FOX
Counselor (Professional)
1310 GOODMAN RD E
SOUTHAVEN, MS 38671
Desoto County (662) 470-5433
CAITLIN M HARLEY LCSW
Social Worker (Clinical)
1310 GOODMAN RD E
SOUTHAVEN, MS 38671
Desoto County (662) 470-5433

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 Kimberly Davis's NPI number?

The NPI number for Kimberly Davis is 1063130029. It was assigned to this individual provider in the NPPES registry on August 16, 2022.

Where is Kimberly Davis located?

Kimberly Davis practices at 1310 Goodman Rd E, Southaven, MS 38671. The listed phone number is (662) 470-5433.

What is Kimberly Davis's specialty?

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

Is Kimberly Davis enrolled in Medicare?

Yes. Kimberly Davis is registered in the Medicare PECOS enrollment system.

What insurance does Kimberly Davis accept?

Health plans from Oscar Health Plan, Inc. and UnitedHealthcare list Kimberly 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 Kimberly Davis was last updated on August 23, 2022. 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.