JENNIFER DAVIDSON LMHC
NPI 1093561839
Counselor - Mental Health in Commack, NY

Q: What is Jennifer Davidson's NPI number?

The NPI number for Jennifer Davidson is 1093561839. It was assigned to this individual provider in the NPPES registry on April 24, 2024.

Q: What is Jennifer Davidson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Davidson was last updated on January 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 24, 2024PECOS Enrolled

368 VETERANS MEMORIAL HWY STE 3, COMMACK, NY 11725(631) 533-0315(855) 752-5170 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 16, 2026, Sep 30, 2024, Apr 24, 2024 (3 updates tracked since 2024).

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About Jennifer Davidson Lmhc NPPES

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

JENNIFER DAVIDSON LMHC (NPI 1093561839) is an individual mental health provider in Commack, New York, licensed in New York (017393) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1093561839

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJENNIFER DAVIDSONCredential: LMHC

Location Address368 VETERANS MEMORIAL HWY STE 3Commack, NY 11725-4322

Mailing Address368 Veterans Memorial Hwy Ste 3Commack, NY 11725-4322 · (631) 533-0315 · Fax (855) 752-5170

Phone(631) 533-0315

Fax(855) 752-5170

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 24, 2024

Last NPPES UpdateJanuary 16, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2026

✔ NPI 1093561839 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 NY · 017393

368 VETERANS MEMORIAL HWY STE 3, Commack, NY 11725

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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)

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

PECOS PAC ID3375014236

PECOS Enrollment IDI20260602002457

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.

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Other Providers at the Same Location NPPES 20

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

FARIAL ISLAM MHC-LP

Counselor (Mental Health)