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JACKIE DAVIS
NPI 1316488109
Counselor in Longview, WA

Active since March 14, 2017
720 14TH AVE, LONGVIEW, WA 98632(360) 423-0203(360) 577-0269 Get Directions Write a Review

NPPES record last updated: November 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2019, Feb 5, 2019, Mar 14, 2017 (3 updates tracked since 2017).

About Jackie Davis NPPES

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

JACKIE DAVIS (NPI 1316488109) is an individual counselor in Longview, Washington and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1316488109
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJACKIE DAVIS
Location Address720 14TH AVELongview, WA 98632-2315
Mailing Address720 14th AveLongview, WA 98632-2315 · (360) 423-0203 · Fax (360) 577-0269
Phone(360) 423-0203
Fax(360) 577-0269
Sole ProprietorNo
Enumeration DateMarch 14, 2017
Last NPPES UpdateNovember 8, 20193 updates tracked since enumeration
✔ NPI 1316488109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
720 14TH AVE, Longview, WA 98632
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Other Identifiers 1

Medicaid2097707WA

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. MICHELLE CHAPMAN
Counselor
720 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-0203
EVALYN EVANGELISTA RN
Registered Nurse
720 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-0203
MELISSA JARVIS
Counselor (Mental Health)
720 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-0203
ALDONA L PATTERSON
Counselor
720 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-0203
MRS. AMY WARNER RN
Registered Nurse
720 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-0203
ERYN YEATS-BERNARD
Counselor
720 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-0203
AMBER LYNN HANSEN
Nurse's Aide
720 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-0203
MARISSA DAVIS
Nurse's Aide
720 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-0203

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 Jackie Davis's NPI number?

The NPI number for Jackie Davis is 1316488109. It was assigned to this individual provider in the NPPES registry on March 14, 2017.

Where is Jackie Davis located?

Jackie Davis practices at 720 14th Ave, Longview, WA 98632. The listed phone number is (360) 423-0203.

What is Jackie Davis's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jackie Davis was last updated on November 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.