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ROBERT DAVIS M.ED
NPI 1154511459
Counselor - Mental Health in Randolph, VT

Active since August 01, 2007PECOS EnrolledAccepts Medicare Assignment
11 N MAIN ST, RANDOLPH, VT 05060(802) 728-4466(802) 728-4197 Get Directions Write a Review

NPPES record last updated: August 1, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert Davis M.ed NPPES

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

ROBERT DAVIS M.ED (NPI 1154511459) is an individual mental health provider in Randolph, Vermont, licensed in Vermont (0680000714) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1154511459
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameROBERT DAVISCredential: M.ED
Location Address11 N MAIN STRandolph, VT 05060-1126
Mailing Address190 Sugar Plum CtRandolph, VT 05060-9379 · (802) 728-6459
Phone(802) 728-4466
Fax(802) 728-4197
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 1, 2007
✔ NPI 1154511459 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 VT · 0680000714
11 N MAIN ST, Randolph, VT 05060
Open in Google Maps ↗

Other Identifiers 1

Other2393212VT · Cigna

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

Robert Davis M.ed 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 ID6800249087
PECOS Enrollment IDI20240124004021
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.

KATELYN BOWEN AA
Community Health Worker
11 N MAIN ST
RANDOLPH, VT 05060
Orange County (802) 728-4466
ELEXA PHILLIPS BS
Community Health Worker
11 N MAIN ST
RANDOLPH, VT 05060
Orange County (802) 728-4466
GINGER L POTWIN BS,BCC
Case Manager/Care Coordinator
11 N MAIN ST
RANDOLPH, VT 05060
Orange County (802) 728-4466
ADAM BINDRUM
Counselor (Mental Health)
11 N MAIN ST
RANDOLPH, VT 05060
Orange County (802) 728-4466
EMILY MAE EATON
Community Health Worker
11 N MAIN ST
RANDOLPH, VT 05060
Orange County (802) 728-4466
KARA REBECCA TOMS LADC
Counselor (Addiction (Substance Use Disorder))
11 N MAIN ST
RANDOLPH, VT 05060
Orange County (802) 728-4466
BADAWNA GALLIPO MA
Counselor
11 N MAIN ST
RANDOLPH, VT 05060
Orange County (802) 728-4466
ALEXIS J SARGENT LADC
Social Worker (Clinical)
11 N MAIN ST
RANDOLPH, VT 05060
Orange County (802) 728-4466

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 Robert Davis's NPI number?

The NPI number for Robert Davis is 1154511459. It was assigned to this individual provider in the NPPES registry on August 1, 2007.

Where is Robert Davis located?

Robert Davis practices at 11 N Main St, Randolph, VT 05060. The listed phone number is (802) 728-4466.

What is Robert Davis's specialty?

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

Is Robert Davis enrolled in Medicare?

Yes. Robert 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 Robert Davis was last updated on August 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.