PAUL G DAVIS LPCC
NPI 1306362892
Counselor - Mental Health in Jackson, OH

Active since August 17, 2017PECOS Enrolled
500 BURLINGTON RD STE 240, JACKSON, OH 45640(740) 286-5075(740) 395-8411 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 20, 2026, Aug 17, 2017 (2 updates tracked since 2017).

About Paul G Davis Lpcc NPPES

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

PAUL G DAVIS LPCC (NPI 1306362892) is an individual mental health provider in Jackson, Ohio, licensed in Ohio (E.2606203) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1306362892
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NamePAUL G DAVISCredential: LPCC
Location Address500 BURLINGTON RD STE 240Jackson, OH 45640-9360
Mailing AddressPo Box 188Chillicothe, OH 45601-0188 · (740) 773-4366
Fax(740) 395-8411
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 17, 2017
Last NPPES UpdateJanuary 20, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
NPI 1306362892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in OH · E.2606203
500 BURLINGTON RD STE 240, Jackson, OH 45640

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Paul G Davis Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587142914
PECOS Enrollment IDI20260128001497
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.

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.

Counselor (Professional)
500 BURLINGTON RD STE 240
JACKSON, OH 45640
Counselor (Addiction (Substance Use Disorder))
500 BURLINGTON RD STE 240
JACKSON, OH 45640
Assistant Behavior Analyst
500 BURLINGTON RD STE 240
JACKSON, OH 45640
Case Manager/Care Coordinator
500 BURLINGTON RD STE 240
JACKSON, OH 45640
Clinic/Center (Federally Qualified Health Center (FQHC))
500 BURLINGTON RD STE 240
JACKSON, OH 45640
Licensed Practical Nurse
500 BURLINGTON RD STE 240
JACKSON, OH 45640
Clinic/Center (Mental Health (Including Community Mental Health Center))
500 BURLINGTON RD STE 240
JACKSON, OH 45640
Counselor (Addiction (Substance Use Disorder))
500 BURLINGTON RD STE 240
JACKSON, OH 45640

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306362892, enumerated as an "individual" on August 17, 2017.

The provider is located at 500 BURLINGTON RD STE 240 JACKSON, OH 45640 and the phone number is (740) 286-5075.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.