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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: November 01, 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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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Change Counseling, LLC
1.3 mi
Clinical
750R MAIN ST
Willimantic, CT 06226
  • Reassigned Medicare billing, Connecticut enrollment
  • 10 clinicians in this Medicare group
NPI 1780141465 (860) 833-2657

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 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.

Which organization bills Medicare for Olivia Davenport's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olivia Davenport reassigns Medicare benefits to Change Counseling, LLC (Willimantic, CT). 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 Olivia Davenport's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Olivia Davenport accept?

Health plans from Anthem Blue Cross and Blue Shield list Olivia Davenport 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 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 22 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.