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OLIVIA DAVENPORT
NPI 1083420640
Counselor - Mental Health in Mansfield Center, CT

Active since December 09, 2024PECOS Enrolled
6 LEDGEBROOK DR FL 2, MANSFIELD CENTER, CT 06250(860) 833-2657 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Olivia Davenport NPPES

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

OLIVIA DAVENPORT (NPI 1083420640) is an individual mental health provider in Mansfield Center, Connecticut, licensed in Connecticut (6555) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Bellevue Hospital Medical College (2023).

NPPES Registry Identity

NPI1083420640
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameOLIVIA DAVENPORT
Location Address6 LEDGEBROOK DR FL 2Mansfield Center, CT 06250-1644
Mailing Address6 Ledgebrook DrMansfield Center, CT 06250-1644
Phone(860) 833-2657
Sole ProprietorYes
Medical School CMSBellevue Hospital Medical CollegeGraduated 2023
Enumeration DateDecember 9, 2024
NPPES CertifiedDecember 9, 2024
✔ NPI 1083420640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CT · 6555
6 LEDGEBROOK DR FL 2, Mansfield Center, CT 06250
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olivia Davenport is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163904426
PECOS Enrollment IDI20260305001448
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.

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 Olivia Davenport's NPI number?

The NPI number for Olivia Davenport is 1083420640. It was assigned to this individual provider in the NPPES registry on December 9, 2024.

Where is Olivia Davenport located?

Olivia Davenport practices at 6 Ledgebrook Dr Fl 2, Mansfield Center, CT 06250. The listed phone number is (860) 833-2657.

What is Olivia Davenport's specialty?

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

Is Olivia Davenport enrolled in Medicare?

Yes. Olivia Davenport is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olivia Davenport was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.