NICOLE DAVIS LPCC-S
NPI 1184295669
Counselor - Mental Health in Louisville, KY

Active since July 07, 2021PECOS EnrolledAccepts Medicare Assignment
4010 DUPONT CIR STE 403, LOUISVILLE, KY 40207(502) 825-1375 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 7, 2024, Jul 7, 2021 (2 updates tracked since 2021).

About Nicole Davis Lpcc-s NPPES

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

NICOLE DAVIS LPCC-S (NPI 1184295669) is an individual mental health provider in Louisville, Kentucky, licensed in Kentucky (275068) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1184295669
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE DAVISCredential: LPCC-S
Location Address4010 DUPONT CIR STE 403Louisville, KY 40207-4837
Mailing Address4010 Dupont Cir Ste B-173Louisville, KY 40207-4812 · (502) 825-1375
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 7, 2021
Last NPPES UpdateJune 7, 20242 updates tracked since enumeration
NPPES CertifiedJune 7, 2024
✔ NPI 1184295669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in KY · 275068
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 261631 (KY)
4010 DUPONT CIR STE 403, Louisville, KY 40207

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

Nicole Davis Lpcc-s 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 ID2163953001
PECOS Enrollment IDI20241003000531
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

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

Nurse Practitioner
4010 DUPONT CIR STE 403
LOUISVILLE, KY 40207

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 Nicole Davis's NPI number?

The NPI number for Nicole Davis is 1184295669. It was assigned to this individual provider in the NPPES registry on July 7, 2021.

Where is Nicole Davis located?

Nicole Davis practices at 4010 Dupont Cir Ste 403, Louisville, KY 40207. The listed phone number is (502) 825-1375.

What is Nicole Davis's specialty?

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

Is Nicole Davis enrolled in Medicare?

Yes. Nicole 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 Nicole Davis was last updated on June 7, 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.