DAVIS M SHRYER III LADC, LPCC
NPI 1215382379
Counselor - Professional in Saint Paul, MN

Active since April 26, 2016PECOS Enrolled
195 5TH STREET EAST, #1408, SAINT PAUL, MN 55101(651) 308-5540(763) 537-6666 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Davis M Shryer Iii Ladc, Lpcc NPPES

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

DAVIS M SHRYER III LADC, LPCC (NPI 1215382379) is an individual professional provider in Saint Paul, Minnesota, licensed in Minnesota (CC13026) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1215382379
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDAVIS M SHRYER IIICredential: LADC, LPCC
Location Address195 5TH STREET EAST, #1408Saint Paul, MN 55101
Mailing Address195 5th St E Apt 1408Saint Paul, MN 55101-2965 · (651) 308-5540
Fax(763) 537-6666
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateApril 26, 2016
Last NPPES UpdateJuly 2, 2024
NPPES CertifiedJuly 2, 2024
✔ NPI 1215382379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · CC13026
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 302852 (MN)
195 5TH STREET EAST, Saint Paul, MN 55101

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Davis M Shryer Iii Ladc, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567926231
PECOS Enrollment IDI20260714001396
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 Davis Shryer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Minnesota enrollment
  • 276 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Davis Shryer's NPI number?

The NPI number for Davis Shryer is 1215382379. It was assigned to this individual provider in the NPPES registry on April 26, 2016.

Where is Davis Shryer located?

Davis Shryer practices at 195 5th Street East #1408, Saint Paul, MN 55101. The listed phone number is (651) 308-5540.

What is Davis Shryer's specialty?

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

Is Davis Shryer enrolled in Medicare?

Yes. Davis Shryer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Davis Shryer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Davis Shryer reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Davis Shryer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Davis Shryer accept?

Health plans from HealthPartners list Davis Shryer 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 Davis Shryer was last updated on July 2, 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.