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AMANDA DAVIS LPC
NPI 1124459235
Counselor - Mental Health in Russellville, AR

Active since November 29, 2013PECOS EnrolledAccepts Medicare Assignment
1310 W MAIN ST STE 100, RUSSELLVILLE, AR 72801(479) 968-2001(479) 219-9425 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Davis Lpc NPPES

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

AMANDA DAVIS LPC (NPI 1124459235) is an individual mental health provider in Russellville, Arkansas, licensed in Arkansas (A1509118) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1124459235
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA DAVISCredential: LPC
Location Address1310 W MAIN ST STE 100Russellville, AR 72801-2803
Mailing Address1310 W Main St Ste 201Russellville, AR 72801-2803 · (479) 968-2001 · Fax (479) 219-9425
Phone(479) 968-2001
Fax(479) 219-9425
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 29, 2013
Last NPPES UpdateApril 22, 2026
NPPES CertifiedApril 22, 2026
✔ NPI 1124459235 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 AR · A1509118
1310 W MAIN ST STE 100, Russellville, AR 72801
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Amanda Davis Lpc 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 ID6305355520
PECOS Enrollment IDI20250530001588
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.

MRS. MARILYN JEAN MCKOWN MHPP
Counselor (Professional)
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Pope County (479) 964-2011
KELCEE SITZES QBHP-D
Case Manager/Care Coordinator
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Pope County (479) 968-2001
LESLIE SOUTHALL
Counselor (Professional)
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Pope County (479) 964-2011
JESSICA L BRADWELL MS
Counselor (Mental Health)
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Pope County (479) 964-2011
ALEC FONTENOT LAC
Counselor (Mental Health)
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Pope County (479) 968-2001
BROOKE GRICE LAC
Counselor
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Pope County (479) 964-2011
ASHTON GUTHRIE LAC
Counselor
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Pope County (479) 964-2011
KEALIE KELLEY LAC
Counselor
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Pope County (479) 964-2011

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 Amanda Davis's NPI number?

The NPI number for Amanda Davis is 1124459235. It was assigned to this individual provider in the NPPES registry on November 29, 2013.

Where is Amanda Davis located?

Amanda Davis practices at 1310 W Main St Ste 100, Russellville, AR 72801. The listed phone number is (479) 968-2001.

What is Amanda Davis's specialty?

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

Is Amanda Davis enrolled in Medicare?

Yes. Amanda 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.

What insurance does Amanda Davis accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 6 other insurers list Amanda 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 Amanda Davis was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.