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MR. JAMES DAVIS LICDC-CS, QMHS
NPI 1215387055
Counselor - Addiction (Substance Use Disorder) in Ironton, OH

Active since June 13, 2016PECOS Enrolled
700 PARK AVE, IRONTON, OH 45638(740) 532-1613(740) 532-1715 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 3, 2021, Feb 18, 2019, Apr 17, 2018 and 1 more (4 updates tracked since 2016).

About Mr. James Davis Licdc-cs, Qmhs NPPES

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

MR. JAMES DAVIS LICDC-CS, QMHS (NPI 1215387055) is an individual addiction (substance use disorder) provider in Ironton, Ohio, licensed in Ohio (LICDC.161116) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215387055
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. JAMES DAVISCredential: LICDC-CS, QMHS
Location Address700 PARK AVEIronton, OH 45638-1502
Mailing AddressPo Box 108Ironton, OH 45638-0108 · (740) 532-1613 · Fax (740) 532-1715
Phone(740) 532-1613
Fax(740) 532-1715
Sole ProprietorNo
Enumeration DateJune 13, 2016
Last NPPES UpdateNovember 3, 20214 updates tracked since enumeration
NPPES CertifiedNovember 3, 2021
✔ NPI 1215387055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · LICDC.161116
700 PARK AVE, Ironton, OH 45638
Open in Google Maps ↗

Other Identifiers 1

Medicaid0216738OH

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. James Davis Licdc-cs, Qmhs 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 James Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mended Reeds Services, Inc.
Same address
Community/Behavioral Health
700 PARK AVE
Ironton, OH 45638
  • Reassigned Medicare billing, Ohio enrollment
  • 23 clinicians in this Medicare group
NPI 1407261977 (740) 532-1613

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.

MASON EASTHAM LCDCII
Counselor (Addiction (Substance Use Disorder))
700 PARK AVE
IRONTON, OH 45638
Lawrence County (740) 532-1613
MICKEY A BABCOCK CDCA
Case Manager/Care Coordinator
700 PARK AVE
IRONTON, OH 45638
Lawrence County (740) 532-1613
ROBERT CROCKREL QMHS, CMS
Case Manager/Care Coordinator
700 PARK AVE
IRONTON, OH 45638
Lawrence County (740) 532-1613
ZACHERY HENRY CDCA
Case Manager/Care Coordinator
700 PARK AVE
IRONTON, OH 45638
Lawrence County (740) 532-1613
AUDRA MARTIN CDCA
Counselor (Addiction (Substance Use Disorder))
700 PARK AVE
IRONTON, OH 45638
Lawrence County (740) 532-1613
AMANDA S RANDOLPH CDCA
Case Manager/Care Coordinator
700 PARK AVE
IRONTON, OH 45638
Lawrence County (740) 532-1613
SARAH BRADLEY LSW
Social Worker
700 PARK AVE
IRONTON, OH 45638
Lawrence County (740) 532-1613
KATRINKA MERICAL CDCA, QMHS
Counselor (Addiction (Substance Use Disorder))
700 PARK AVE
IRONTON, OH 45638
Lawrence County (740) 532-1613

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 James Davis's NPI number?

The NPI number for James Davis is 1215387055. It was assigned to this individual provider in the NPPES registry on June 13, 2016.

Where is James Davis located?

James Davis practices at 700 Park Ave, Ironton, OH 45638. The listed phone number is (740) 532-1613.

What is James Davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is James Davis enrolled in Medicare?

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

Which organization bills Medicare for James Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Davis reassigns Medicare benefits to Mended Reeds Services, Inc. (Ironton, OH). 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 James Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Davis accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list James 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 James Davis was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.