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ANDREA DAVIS MA
NPI 1164870473
Marriage & Family Therapist in Vancouver, WA

Active since May 26, 2016PECOS EnrolledAccepts Medicare Assignment
1498 SE TECH CENTER PL STE 180, VANCOUVER, WA 98683(360) 619-2226 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 9, 2022, Sep 17, 2019 (2 updates tracked since 2019).

About Andrea Davis Ma NPPES

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

ANDREA DAVIS MA (NPI 1164870473) is an individual marriage & family therapist in Vancouver, Washington and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1164870473
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameANDREA DAVISCredential: MA
Location Address1498 SE TECH CENTER PL STE 180Vancouver, WA 98683-5518
Mailing Address4524 Se 35th AvePortland, OR 97202-3322
Phone(360) 619-2226
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMay 26, 2016
Last NPPES UpdateDecember 9, 20222 updates tracked since enumeration
NPPES CertifiedDecember 9, 2022
✔ NPI 1164870473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
1498 SE TECH CENTER PL STE 180, Vancouver, WA 98683
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Secondary Practice Location 1

Location 11312 SW Washington StPortland, OR 97205-2327 · Phone (503) 535-1150 · Fax (503) 535-1191

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Kaiser Permanente, Moda Health Plan, Inc. and more.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

Andrea Davis Ma 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 ID840737136
PECOS Enrollment IDI20240805001376
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.

Medicare Billing Reassignment

Medicare enrollment records show Andrea Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Real Life Counseling PLLC
Same address
Clinical
1498 SE TECH CENTER PL STE 300
Vancouver, WA 98683
  • Reassigned Medicare billing, Washington enrollment
  • 54 clinicians in this Medicare group
NPI 1053782078 (360) 619-2226

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 20

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

CARA BETH FARRELL
Counselor (Mental Health)
1498 SE TECH CENTER PL STE 180
VANCOUVER, WA 98683
Clark County (503) 539-7604
LAURIE KREBS
Student in an Organized Health Care Education/Training Program
1498 SE TECH CENTER PL STE 180
VANCOUVER, WA 98683
Clark County (360) 619-2226
MAKENA ANDERSEN
Counselor (Mental Health)
1498 SE TECH CENTER PL STE 180
VANCOUVER, WA 98683
Clark County (360) 619-2226
ADAM D HALVORSEN MACP, LMHC, CDP, CPS
Counselor (Mental Health)
1498 SE TECH CENTER PL STE 180
VANCOUVER, WA 98683
Clark County (360) 619-2226
JOSEPH THOMAS DIAZ
Student in an Organized Health Care Education/Training Program
1498 SE TECH CENTER PL STE 180
VANCOUVER, WA 98683
Clark County (360) 619-2226
MRS. KAELEY COLLEEN O'LEARY STEPHENS
Marriage & Family Therapist
1498 SE TECH CENTER PL STE 180
VANCOUVER, WA 98683
Clark County (360) 200-8670
RYLIE DEGARMO
Student in an Organized Health Care Education/Training Program
1498 SE TECH CENTER PL STE 180
VANCOUVER, WA 98683
Clark County (360) 217-9329
MRS. SHARON ELAINE EILAND
Student in an Organized Health Care Education/Training Program
1498 SE TECH CENTER PL STE 180
VANCOUVER, WA 98683
Clark County (360) 200-8670

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 Andrea Davis's NPI number?

The NPI number for Andrea Davis is 1164870473. It was assigned to this individual provider in the NPPES registry on May 26, 2016.

Where is Andrea Davis located?

Andrea Davis practices at 1498 SE Tech Center Pl Ste 180, Vancouver, WA 98683. The listed phone number is (360) 619-2226.

What is Andrea Davis's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Andrea Davis enrolled in Medicare?

Yes. Andrea 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 organization bills Medicare for Andrea Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Davis reassigns Medicare benefits to Real Life Counseling PLLC (Vancouver, WA). The 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 Andrea Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Davis accept?

Health plans from Ambetter Health, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Andrea 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 Andrea Davis was last updated on December 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.