JESSICA KAIULANI ROSSI DAVIS
NPI 1104394568
Counselor - Professional in Lakewood, CO

Active since November 05, 2018PECOS EnrolledAccepts Medicare Assignment
12055 W 2ND PL, LAKEWOOD, CO 80228(303) 432-5038 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 28, 2023, Jan 27, 2021, Nov 5, 2018 (3 updates tracked since 2018).

About Jessica Kaiulani Rossi Davis NPPES

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

JESSICA KAIULANI ROSSI DAVIS (NPI 1104394568) is an individual professional provider in Lakewood, Colorado, licensed in Colorado (LPC.0016621) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1104394568
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESSICA KAIULANI ROSSI DAVIS
Location Address12055 W 2ND PLLakewood, CO 80228-1506
Mailing Address12055 W 2nd PlLakewood, CO 80228-1506 · (303) 432-5738
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 5, 2018
Last NPPES UpdateAugust 28, 20233 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
NPI 1104394568 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 CO · LPC.0016621
12055 W 2ND PL, Lakewood, CO 80228

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jessica Kaiulani Rossi Davis is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254873441
PECOS Enrollment IDI20240603003324
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 20

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

Counselor (Mental Health)
12055 W 2ND PL
LAKEWOOD, CO 80228
Social Worker (Clinical)
12055 W 2ND PL
LAKEWOOD, CO 80228
Psychiatry & Neurology (Child & Adolescent Psychiatry)
12055 W 2ND PL
LAKEWOOD, CO 80228
Community/Behavioral Health
12055 W 2ND PL
LAKEWOOD, CO 80228
Psychologist
12055 W 2ND PL
LAKEWOOD, CO 80228
Counselor (Professional)
12055 W 2ND PL
LAKEWOOD, CO 80228
Marriage & Family Therapist
12055 W 2ND PL
LAKEWOOD, CO 80228
Counselor (Professional)
12055 W 2ND PL
LAKEWOOD, CO 80228

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 Jessica Davis's NPI number?

The NPI number for Jessica Davis is 1104394568. It was assigned to this individual provider in the NPPES registry on November 5, 2018.

Where is Jessica Davis located?

Jessica Davis practices at 12055 W 2nd Pl, Lakewood, CO 80228. The listed phone number is (303) 432-5038.

What is Jessica Davis's specialty?

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

Is Jessica Davis enrolled in Medicare?

Yes. Jessica Davis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jessica Davis was last updated on August 28, 2023. 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.