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DR. CARMEN DAVIS PH.D, LCMHCS, NCC
NPI 1063640894
Counselor - Professional in Charlotte, NC

Active since July 01, 2009PECOS Enrolled
1905 J N PEASE PL STE 202, CHARLOTTE, NC 28262(360) 339-3838(704) 981-9567 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Carmen Davis Ph.d, Lcmhcs, Ncc NPPES

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

DR. CARMEN DAVIS PH.D, LCMHCS, NCC (NPI 1063640894) is an individual professional provider in Charlotte, North Carolina, licensed in North Carolina (3527) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063640894
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. CARMEN DAVISCredential: PH.D, LCMHCS, NCC
Location Address1905 J N PEASE PL STE 202Charlotte, NC 28262-4539
Mailing Address5318 Silchester LnCharlotte, NC 28215-5302 · (360) 339-3838
Phone(360) 339-3838
Fax(704) 981-9567
Sole ProprietorYes
Enumeration DateJuly 1, 2009
Last NPPES UpdateJanuary 8, 2024
NPPES CertifiedMarch 21, 2023
✔ NPI 1063640894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · 3527
Also ListedCounselorTaxonomy 101Y00000X · License 3527 (NC)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 3527 (NC)
Also ListedCase ManagementTaxonomy 251B00000X · License 3527 (NC)
1905 J N PEASE PL STE 202, Charlotte, NC 28262
Open in Google Maps ↗

Other Identifiers 1

Medicaid6102558NC

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carmen Davis Ph.d, Lcmhcs, Ncc 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.

Medicare Billing Reassignment

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

Innovations Counseling And Consulting Services PLLC
Same address
Professional
1905 J N PEASE PL STE 202
Charlotte, NC 28262
  • Reassigned Medicare billing, North Carolina enrollment
NPI 1720780786 (360) 339-3838

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 5

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

CHARLOTTE COUNSELING AND CONSULTING, PLLC
Community Based Residential Treatment Facility, Mental Illness
1905 J N PEASE PL STE 202
CHARLOTTE, NC 28262
Mecklenburg County (704) 771-4633
ENID CROOM LCSW-A
Social Worker (Clinical)
1905 J N PEASE PL STE 202
CHARLOTTE, NC 28262
Mecklenburg County (809) 505-0860
CHARLOTTE COUNSELING AND CONSULTING, PLLC
Community/Behavioral Health
1905 J N PEASE PL STE 202
CHARLOTTE, NC 28262
Mecklenburg County (704) 771-4633
INNOVATIONS COUNSELING AND CONSULTING SERVICES PLLC
Counselor (Professional)
1905 J N PEASE PL STE 202
CHARLOTTE, NC 28262
Mecklenburg County (360) 339-3838
JAMARR J FUNDERBURG LCSW, LCAS, CCS
Social Worker (Clinical)
1905 J N PEASE PL STE 202
CHARLOTTE, NC 28262
Mecklenburg County (704) 771-4633

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 Carmen Davis's NPI number?

The NPI number for Carmen Davis is 1063640894. It was assigned to this individual provider in the NPPES registry on July 1, 2009.

Where is Carmen Davis located?

Carmen Davis practices at 1905 J N Pease Pl Ste 202, Charlotte, NC 28262. The listed phone number is (360) 339-3838.

What is Carmen Davis's specialty?

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

Is Carmen Davis enrolled in Medicare?

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

Which organization bills Medicare for Carmen Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmen Davis reassigns Medicare benefits to Innovations Counseling And Consulting Services PLLC (Charlotte, NC). 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 Carmen Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carmen Davis accept?

Health plans from Blue Cross and Blue Shield of NC list Carmen 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 Carmen Davis was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.