KATHRYN D DAVIS LPC
NPI 1134628423
Counselor - Professional in Phoenix, AZ
About Kathryn D Davis Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHRYN D DAVIS LPC (NPI 1134628423) is an individual professional provider in Phoenix, Arizona, licensed in Arizona (LPC-17553) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kathryn D 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kathryn Davis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Denver, CO 80202
- Reassigned Medicare billing, Arizona enrollment
- 191 clinicians in this Medicare group
Durham, NC 27701
- Reassigned Medicare billing, Arizona enrollment
- 99 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHOENIX, AZ 85015
PHOENIX, AZ 85015
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 Kathryn Davis's NPI number?
The NPI number for Kathryn Davis is 1134628423. It was assigned to this individual provider in the NPPES registry on February 1, 2018. The provider is also known as Kathryn D Freeman; Lashley Lpc.
Where is Kathryn Davis located?
Kathryn Davis practices at 5060 N 19th Ave Ste 218, Phoenix, AZ 85015. The listed phone number is (602) 750-6043.
What is Kathryn Davis's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kathryn Davis enrolled in Medicare?
Yes. Kathryn 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.
Which organizations bill Medicare for Kathryn Davis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Davis reassigns Medicare benefits to 2 organizations: Sondermind Provider Network LLC (Denver, CO) and Mental Health Specialty Group PA (Durham, NC). Each 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 Kathryn Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathryn Davis accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 7 other insurers list Kathryn 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 Kathryn Davis was last updated on September 20, 2024. 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.
# Kathryn D Davis, LPC · NPI 1134628423
Professional provider in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since February 1, 2018.
## Identity
- **NPI:** 1134628423 (Entity type: Individual)
- **Enumerated:** February 1, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC-17553 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5060 N 19TH AVE STE 218, Phoenix, AZ 85015-3212
- **Phone:** (602) 750-6043 · **Fax:** (623) 433-0786
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sondermind Provider Network LLC (NPI 1760854442, Denver, CO); Mental Health Specialty Group PA (NPI 1801472634, Durham, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** September 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1134628423) · Data from the CMS NPPES public registry.