RYAN TIERRA DAVENPORT LPCA
NPI 1376088021
Counselor - Professional in Lexington, KY

Q: What is Ryan Davenport's NPI number?

The NPI number for Ryan Davenport is 1376088021. It was assigned to this individual provider in the NPPES registry on January 4, 2017.

Q: What is Ryan Davenport's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ryan Davenport was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 04, 2017PECOS EnrolledAccepts Medicare Assignment

1255 PROVIDENCE PLACE PKWY STE 115, LEXINGTON, KY 40511(216) 468-5000(216) 456-8128 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 23, 2023, Oct 22, 2020, Feb 24, 2019 and 2 more (5 updates tracked since 2017).

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About Ryan Tierra Davenport Lpca NPPES

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

RYAN TIERRA DAVENPORT LPCA (NPI 1376088021) is an individual professional provider in Lexington, Kentucky, licensed in Kentucky (287775) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1376088021

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameRYAN TIERRA DAVENPORTCredential: LPCA

Location Address1255 PROVIDENCE PLACE PKWY STE 115Lexington, KY 40511-8379

Mailing Address1255 Providence Place Pkwy Ste 115Lexington, KY 40511-8379 · (216) 468-5000 · Fax (216) 456-8128

Phone(216) 468-5000

Fax(216) 456-8128

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateJanuary 4, 2017

Last NPPES UpdateOctober 23, 20235 updates tracked since enumeration

NPPES CertifiedOctober 23, 2023

✔ NPI 1376088021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in KY · 287775✔ Licensed in KY · 246478

1255 PROVIDENCE PLACE PKWY STE 115, Lexington, KY 40511

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ryan Tierra Davenport Lpca 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 ID2961947585

PECOS Enrollment IDI20240708003229

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 9

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

MRS. MIRANDA GILL

Marriage & Family Therapist