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ANDREA DAWN DAVENPORT LPC
NPI 1174116693
Counselor - Professional in Springfield, OR

Active since February 16, 2021PECOS Enrolled
1705 CENTENNIAL BLVD STE 2, SPRINGFIELD, OR 97477(541) 818-0009(541) 780-6967 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 25, 2023, Feb 16, 2021 (2 updates tracked since 2021).

About Andrea Dawn Davenport Lpc NPPES

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

ANDREA DAWN DAVENPORT LPC (NPI 1174116693) is an individual professional provider in Springfield, Oregon, licensed in Oregon (C4565) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174116693
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANDREA DAWN DAVENPORTCredential: LPC
Location Address1705 CENTENNIAL BLVD STE 2Springfield, OR 97477
Mailing Address1705 Centennial Blvd Ste 2Springfield, OR 97477 · (503) 542-2300 · Fax (503) 224-5960
Phone(541) 818-0009
Fax(541) 780-6967
Sole ProprietorYes
Enumeration DateFebruary 16, 2021
Last NPPES UpdateJuly 25, 20232 updates tracked since enumeration
NPPES CertifiedJuly 25, 2023
✔ NPI 1174116693 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 OR · C4565
1705 CENTENNIAL BLVD STE 2, Springfield, OR 97477
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Dawn Davenport Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Davenport reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oregon Directions, LLC
Same address
Mental Health
1705 CENTENNIAL BLVD STE 2
Springfield, OR 97477
  • Reassigned Medicare billing, Oregon enrollment
  • 20 clinicians in this Medicare group
NPI 1225707763 (970) 962-4819

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 11

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

ROBERT MOUNTAINSPRING-WOOD
Counselor (Mental Health)
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477
Lane County (541) 818-0009
OREGON DIRECTIONS, LLC
Counselor (Professional)
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477
Lane County (541) 818-0009
MR. GLEN RUDERMAN
Counselor (Mental Health)
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477
Lane County (541) 818-0009
OREGON DIRECTIONS, LLC
Counselor (Mental Health)
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477
Lane County (970) 962-4819
JASON LAMB
Counselor (Mental Health)
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477
Lane County (458) 818-0009
MISS BRIDGET ANNE DEDELOW
Counselor (Mental Health)
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477
Lane County (541) 818-0009
CODIE WILSON
Counselor (Mental Health)
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477
Lane County (541) 818-0009
TAYLOR CHARLES VAN RYSSELBERGHE
Counselor (Mental Health)
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477
Lane County (541) 818-0009

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 Davenport's NPI number?

The NPI number for Andrea Davenport is 1174116693. It was assigned to this individual provider in the NPPES registry on February 16, 2021.

Where is Andrea Davenport located?

Andrea Davenport practices at 1705 Centennial Blvd Ste 2, Springfield, OR 97477. The listed phone number is (541) 818-0009.

What is Andrea Davenport's specialty?

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

Is Andrea Davenport enrolled in Medicare?

Yes. Andrea Davenport is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrea Davenport's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Davenport reassigns Medicare benefits to Oregon Directions, LLC (Springfield, OR). 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 Davenport's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Davenport accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Andrea Davenport 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 Davenport was last updated on July 25, 2023. 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.