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MISS KIMBERLY DENICE DAVIS LICDC161399
NPI 1265180665
Counselor - Addiction (Substance Use Disorder) in Cincinnati, OH

Active since March 15, 2022PECOS Enrolled
3009 BURNET AVE, CINCINNATI, OH 45219(513) 838-4909(513) 221-0627 Get Directions Write a Review

NPPES record last updated: March 15, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Miss Kimberly Denice Davis Licdc161399 NPPES

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

MISS KIMBERLY DENICE DAVIS LICDC161399 (NPI 1265180665) is an individual addiction (substance use disorder) provider in Cincinnati, Ohio, licensed in Ohio (LICDC161399) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265180665
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMISS KIMBERLY DENICE DAVISCredential: LICDC161399
Location Address3009 BURNET AVECincinnati, OH 45219-2419
Mailing Address2600 Victory PkwyCincinnati, OH 45206-1711 · (513) 751-7747
Phone(513) 838-4909
Fax(513) 221-0627
Sole ProprietorNo
Enumeration DateMarch 15, 2022
NPPES CertifiedMarch 15, 2022
✔ NPI 1265180665 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 · LICDC161399
3009 BURNET AVE, Cincinnati, OH 45219
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Insurance, Oscar Insurance Corporation of Ohio.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Kimberly Denice Davis Licdc161399 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 Kimberly Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Talbert House
1.0 mi
Mental Health (Including Community Mental Health Center)
2621 VICTORY PKWY
Cincinnati, OH 45206
  • Reassigned Medicare billing, Ohio enrollment
  • 111 clinicians in this Medicare group
NPI 1619900834 (513) 751-7747

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.

LAUREN RICHELLE KOCH
Peer Specialist
3009 BURNET AVE
CINCINNATI, OH 45219
Hamilton County (513) 704-1752
ASHLEY N ATWELL
Counselor (Addiction (Substance Use Disorder))
3009 BURNET AVE
CINCINNATI, OH 45219
Hamilton County (513) 338-8738
LAUREN A LAWSON RN
Registered Nurse
3009 BURNET AVE
CINCINNATI, OH 45219
Hamilton County (513) 872-8870
ELIZABETH M CARTER
Case Manager/Care Coordinator
3009 BURNET AVE
CINCINNATI, OH 45219
Hamilton County (513) 751-7747
KEAIRA L WILLIAMS LPN
Licensed Practical Nurse
3009 BURNET AVE
CINCINNATI, OH 45219
Hamilton County (513) 751-7747
LARRY SPELLMAN
Peer Specialist
3009 BURNET AVE
CINCINNATI, OH 45219
Hamilton County (513) 751-7747
MRS. KELLEY DENISE PATMON
Counselor (Addiction (Substance Use Disorder))
3009 BURNET AVE
CINCINNATI, OH 45219
Hamilton County (513) 751-7747
SAM CALLOWAY CDCA
Counselor (Addiction (Substance Use Disorder))
3009 BURNET AVE
CINCINNATI, OH 45219
Hamilton County (513) 872-8870

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 Kimberly Davis's NPI number?

The NPI number for Kimberly Davis is 1265180665. It was assigned to this individual provider in the NPPES registry on March 15, 2022.

Where is Kimberly Davis located?

Kimberly Davis practices at 3009 Burnet Ave, Cincinnati, OH 45219. The listed phone number is (513) 838-4909.

What is Kimberly Davis's specialty?

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

Is Kimberly Davis enrolled in Medicare?

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

Which organization bills Medicare for Kimberly Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Davis reassigns Medicare benefits to Talbert House (Cincinnati, 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 Kimberly Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Davis accept?

Health plans from Molina Healthcare, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Kimberly 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 Kimberly Davis was last updated on March 15, 2022. 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.