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JASON THOMAS DAVIS MA, LPC
NPI 1356870927
Counselor - Professional in Evanston, IL

Active since June 07, 2017PECOS Enrolled
2530 CRAWFORD AVE STE 208, EVANSTON, IL 60201(224) 688-2277 Get Directions Write a Review

NPPES record last updated: June 7, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jason Thomas Davis Ma, Lpc NPPES

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

JASON THOMAS DAVIS MA, LPC (NPI 1356870927) is an individual professional provider in Evanston, Illinois and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1356870927
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJASON THOMAS DAVISCredential: MA, LPC
Location Address2530 CRAWFORD AVE STE 208Evanston, IL 60201-4959
Mailing Address2530 Crawford Ave Ste 208Evanston, IL 60201-4959 · (224) 688-2277
Phone(224) 688-2277
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 7, 2017
✔ NPI 1356870927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
2530 CRAWFORD AVE STE 208, Evanston, IL 60201
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Thomas Davis Ma, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274983135
PECOS Enrollment IDI20231219002418
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA MARIE DWYER LCPC
Counselor (Mental Health)
2530 CRAWFORD AVE STE 208
EVANSTON, IL 60201
Cook County (630) 217-5932
ALYSON MINKUS LCSW, CADC
Social Worker (Clinical)
2530 CRAWFORD AVE STE 208
EVANSTON, IL 60201
Cook County (847) 494-2472

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 Jason Davis's NPI number?

The NPI number for Jason Davis is 1356870927. It was assigned to this individual provider in the NPPES registry on June 7, 2017.

Where is Jason Davis located?

Jason Davis practices at 2530 Crawford Ave Ste 208, Evanston, IL 60201. The listed phone number is (224) 688-2277.

What is Jason Davis's specialty?

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

Is Jason Davis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jason Davis was last updated on June 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.