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KO'I'ULA DAVIS
NPI 1295464428
Counselor - Professional in Fort Collins, CO

Active since June 04, 2022PECOS EnrolledAccepts Medicare Assignment
4856 INNOVATION DR, FORT COLLINS, CO 80525(970) 494-4200(844) 270-1824 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ko'i'ula Davis NPPES

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

KO'I'ULA DAVIS (NPI 1295464428) is an individual professional provider in Fort Collins, Colorado, licensed in Colorado (LPC.0021459) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1295464428
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKO'I'ULA DAVIS
Location Address4856 INNOVATION DRFort Collins, CO 80525-5539
Mailing Address4856 Innovation DrFort Collins, CO 80525-5539 · (970) 494-4200 · Fax (844) 270-1824
Phone(970) 494-4200
Fax(844) 270-1824
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 4, 2022
Last NPPES UpdateMarch 21, 2025
NPPES CertifiedMarch 21, 2025
✔ NPI 1295464428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CO · LPC.0021459
4856 INNOVATION DR, Fort Collins, CO 80525
Open in Google Maps ↗

Other Names 1

Other Name (5)Jaycee Davis

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ko'i'ula Davis 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 ID42744104
PECOS Enrollment IDI20241112001774
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 Reassignments

3

Medicare enrollment records show Ko'i'ula Davis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Summitstone Health Partners
Same address
Mental Health (Including Community Mental Health Center)
4856 INNOVATION DR
Fort Collins, CO 80525
  • Reassigned Medicare billing, Colorado enrollment
  • 183 clinicians in this Medicare group
NPI 1225873136 (970) 494-4200
Escalera Health LLC
656 mi
Family Medicine
2224 NORTH CRAYCROFT ROAD, STE 100
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 118 clinicians in this Medicare group
NPI 1487146171 (520) 209-1919
Grow Healthcare Group PA
1,753 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Arizona and Colorado enrollments
  • 532 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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.

KOKI ADACHI BA
Case Manager/Care Coordinator
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
DR. JOSEPH MESSER PHARMD
Pharmacist
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
ANDREA STRAYER LCSW, CAC II, MSW
Social Worker (Clinical)
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
AMANDA MURRY M.ED.
Counselor (Addiction (Substance Use Disorder))
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
LIZBETT GARCIA
Counselor (Professional)
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
MORGAN RICE CAT
Counselor (Addiction (Substance Use Disorder))
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
ELISSA STILWELL
Case Manager/Care Coordinator
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
EMILY LAU
Counselor (Professional)
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200

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 Ko'i'ula Davis's NPI number?

The NPI number for Ko'i'ula Davis is 1295464428. It was assigned to this individual provider in the NPPES registry on June 4, 2022. The provider is also known as Jaycee Davis.

Where is Ko'i'ula Davis located?

Ko'i'ula Davis practices at 4856 Innovation Dr, Fort Collins, CO 80525. The listed phone number is (970) 494-4200.

What is Ko'i'ula Davis's specialty?

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

Is Ko'i'ula Davis enrolled in Medicare?

Yes. Ko'i'ula 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.

Which organizations bill Medicare for Ko'i'ula Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ko'i'ula Davis reassigns Medicare benefits to 3 organizations: Summitstone Health Partners (Fort Collins, CO), Escalera Health LLC (Tucson, AZ) and Grow Healthcare Group PA (Miami, FL). Each 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 Ko'i'ula Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ko'i'ula Davis accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and Select Health list Ko'i'ula 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 Ko'i'ula Davis was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.