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MI-NA M DAVIS LMHCA
NPI 1376382291
Counselor - Mental Health in Olympia, WA

Active since May 21, 2024PECOS Enrolled
4840 JOURNEY ST SE, OLYMPIA, WA 98513(360) 413-2727(360) 455-4620 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mi-na M Davis Lmhca NPPES

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

MI-NA M DAVIS LMHCA (NPI 1376382291) is an individual mental health provider in Olympia, Washington, licensed in Washington (LH61582728) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Olympia.

NPPES Registry Identity

NPI1376382291
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMI-NA M DAVISCredential: LMHCA
Location Address4840 JOURNEY ST SEOlympia, WA 98513-6779
Mailing Address4840 Journey St SeOlympia, WA 98513-6779 · (360) 413-2727 · Fax (360) 455-4620
Phone(360) 413-2727
Fax(360) 455-4620
Sole ProprietorNo
Enumeration DateMay 21, 2024
Last NPPES UpdateNovember 13, 2024
NPPES CertifiedNovember 12, 2024
✔ NPI 1376382291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in WA · LH61582728✔ Licensed in WA · MC60943651
4840 JOURNEY ST SE, Olympia, WA 98513
Open in Google Maps ↗

Other Names 1

Former Name (1)Mi-na M Gilman, Hoff

Secondary Practice Location 1

Location 1700 Lilly Rd NEOlympia, WA 98506-5115 · Phone (360) 923-7000 · Fax (360) 923-7089

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mi-na M Davis Lmhca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Mi-na Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of Washington
37 mi
Multi-Specialty
2715 NACHES AVE SW # GSWA1N02
Renton, WA 98057
  • Reassigned Medicare billing, Washington enrollment
  • 2,678 clinicians in this Medicare group
NPI 1124264577 (509) 241-7349

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 8

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

DR. RICHELLE KISTLER PHARMD
Pharmacist
4840 JOURNEY ST SE
OLYMPIA, WA 98513
Thurston County (360) 491-9770
LORENA MIZE MS, SUDP, LMHCA
Counselor (Mental Health)
4840 JOURNEY ST SE
OLYMPIA, WA 98513
Thurston County (360) 413-2727
NISQUALLY INDIAN TRIBE
Clinic/Center
4840 JOURNEY ST SE
OLYMPIA, WA 98513
Thurston County (360) 459-5312
MS. AMY LOUISE POND RPH
Pharmacist
4840 JOURNEY ST SE
OLYMPIA, WA 98513
Thurston County (360) 491-9770
JENNY LEE PHARM.D.
Pharmacist
4840 JOURNEY ST SE
OLYMPIA, WA 98513
Thurston County (360) 491-9770
RACHEL CECILE VANDEMARK
Nurse Practitioner (Pediatrics)
4840 JOURNEY ST SE
OLYMPIA, WA 98513
Thurston County (360) 459-5312
JOHN GIPSON VA60681359
Pharmacy Technician
4840 JOURNEY ST SE
OLYMPIA, WA 98513
Thurston County (360) 491-9770
NISQUALLY INDIAN TRIBE
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
4840 JOURNEY ST SE
OLYMPIA, WA 98513
Thurston County (360) 491-9770

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 Mi-na Davis's NPI number?

The NPI number for Mi-na Davis is 1376382291. It was assigned to this individual provider in the NPPES registry on May 21, 2024. The provider is also known as Mi-Na M Gilman, Hoff.

Where is Mi-na Davis located?

Mi-na Davis practices at 4840 Journey St SE, Olympia, WA 98513. The listed phone number is (360) 413-2727.

What is Mi-na Davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Mi-na Davis enrolled in Medicare?

Yes. Mi-na Davis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mi-na Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mi-na Davis reassigns Medicare benefits to Kaiser Foundation Health Plan Of Washington (Renton, WA). The 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 Mi-na Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mi-na Davis was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.