DAZZMEN NIKOLE DAVIS LCMHC, LPC
NPI 1184279002
Counselor - Professional in Fayetteville, NC

Q: What is Dazzmen Davis's NPI number?

The NPI number for Dazzmen Davis is 1184279002. It was assigned to this individual provider in the NPPES registry on August 7, 2019.

Q: What is Dazzmen Davis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dazzmen Davis was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 07, 2019PECOS EnrolledAccepts Medicare Assignment

3350 FOOTBRIDGE LN STE 124, FAYETTEVILLE, NC 28306(980) 990-2642(404) 726-4881 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2026, Mar 21, 2026, Mar 4, 2026 and 6 more (9 updates tracked since 2019).

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About Dazzmen Nikole Davis Lcmhc, Lpc NPPES

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

DAZZMEN NIKOLE DAVIS LCMHC, LPC (NPI 1184279002) is an individual professional provider in Fayetteville, North Carolina, licensed in North Carolina (10572) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in N Wilkesboro, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1184279002

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameDAZZMEN NIKOLE DAVISCredential: LCMHC, LPC

Location Address3350 FOOTBRIDGE LN STE 124Fayetteville, NC 28306-9695

Mailing Address284 Executive Park Dr Ste 100Concord, NC 28025-1833 · (704) 939-1100 · Fax (704) 939-1173

Phone(980) 990-2642

Fax(404) 726-4881

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 7, 2019

Last NPPES UpdateMarch 24, 20269 updates tracked since enumeration

NPPES CertifiedMarch 24, 2026

✔ NPI 1184279002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in NC · 10572✔ Licensed in GA · LPC015521✔ Licensed in SC · LPC9824PC

3350 FOOTBRIDGE LN STE 124, Fayetteville, NC 28306

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Secondary Practice Location 1

Location 1118 Peace StN Wilkesboro, NC 28659-4519 · Phone (336) 667-7191 · Fax (336) 667-6859

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC, CareSource 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

Dazzmen Nikole Davis Lcmhc, 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 ID3678097607

PECOS Enrollment IDI20251114002631

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 3

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

STACY CONNIFEY

Counselor (Professional)

3350 FOOTBRIDGE LN STE 124
FAYETTEVILLE, NC 28306

Cumberland County (910) 446-9414

MRS. BRIANNA STERLING RPBT, RMA

Technician, Pathology (Phlebotomy)

3350 FOOTBRIDGE LN STE 124
FAYETTEVILLE, NC 28306

Cumberland County (910) 779-0980

CONNIFEY COUNSELING & WELLNESS, PLLC

Social Worker (Clinical)

3350 FOOTBRIDGE LN STE 124, #504
FAYETTEVILLE, NC 28306

Cumberland County (724) 480-8098

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 Dazzmen Davis's NPI number?

The NPI number for Dazzmen Davis is 1184279002. It was assigned to this individual provider in the NPPES registry on August 7, 2019.

Where is Dazzmen Davis located?

Dazzmen Davis practices at 3350 Footbridge Ln Ste 124, Fayetteville, NC 28306. The listed phone number is (980) 990-2642.

What is Dazzmen Davis's specialty?

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

Is Dazzmen Davis enrolled in Medicare?

Yes. Dazzmen 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 Dazzmen Davis accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC, CareSource and UnitedHealthcare list Dazzmen 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 Dazzmen Davis was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.