MRS. WENDY JOANNE DAVIS
NPI 1255604302
Counselor - Mental Health in South Pasadena, CA

Q: What is Wendy Davis's NPI number?

The NPI number for Wendy Davis is 1255604302. It was assigned to this individual provider in the NPPES registry on February 21, 2012.

Q: What is Wendy Davis's specialty?

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

Q: Is Wendy Davis enrolled in Medicare?

No. Wendy Davis has opted out of Medicare through January 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Wendy Davis was last updated on February 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since February 21, 2012Opted out of Medicare · through Jan 8, 2028

205 PASADENA AVE, SOUTH PASADENA, CA 91030(323) 344-5536 Get Directions Write a Review

NPPES record last updated: February 21, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Wendy Joanne Davis NPPES

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

MRS. WENDY JOANNE DAVIS (NPI 1255604302) is an individual mental health provider in South Pasadena, California and active in the NPI registry since February 2012. She has opted out of Medicare through January 8, 2028.

NPPES Registry Identity

NPI1255604302

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. WENDY JOANNE DAVIS

Location Address205 PASADENA AVESouth Pasadena, CA 91030-2919

Mailing Address205 Pasadena AveSouth Pasadena, CA 91030-2919 · (323) 344-5536

Phone(323) 344-5536

Sole ProprietorYes

Enumeration DateFebruary 21, 2012

✔ NPI 1255604302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

205 PASADENA AVE, South Pasadena, CA 91030

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Other Identifiers 4

Other7184CA · Medi-cal

Other7708CA · Medi-cal

Other7667CA · Medi-cal

Other7368CA · Medi-cal

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Wendy Joanne Davis has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 8, 2024 through January 8, 2028.

Opt-Out Effective DateJanuary 8, 2024

Opt-Out In Effect ThroughJanuary 8, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

MRS. MEGAN LYNN MURPHY

Marriage & Family Therapist