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KYLIE LOUISE DAVIS LICSW
NPI 1396217790
Counselor - Mental Health in Maplewood, MN

Active since December 23, 2018PECOS Enrolled
2443 MAMIE AVE E, MAPLEWOOD, MN 55119(651) 246-1033 Get Directions Write a Review

NPPES record last updated: December 23, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kylie Louise Davis Licsw NPPES

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

KYLIE LOUISE DAVIS LICSW (NPI 1396217790) is an individual mental health provider in Maplewood, Minnesota, licensed in Minnesota (20040) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1396217790
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKYLIE LOUISE DAVISCredential: LICSW
Location Address2443 MAMIE AVE EMaplewood, MN 55119-5906
Mailing Address2443 Mamie Ave EMaplewood, MN 55119-5906 · (651) 246-1033
Phone(651) 246-1033
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateDecember 23, 2018
✔ NPI 1396217790 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 MN · 20040
2443 MAMIE AVE E, Maplewood, MN 55119
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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)

Kylie Louise Davis Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416380944
PECOS Enrollment IDI20191213001210
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.

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 Kylie Davis's NPI number?

The NPI number for Kylie Davis is 1396217790. It was assigned to this individual provider in the NPPES registry on December 23, 2018.

Where is Kylie Davis located?

Kylie Davis practices at 2443 Mamie Ave E, Maplewood, MN 55119. The listed phone number is (651) 246-1033.

What is Kylie Davis's specialty?

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

Is Kylie Davis enrolled in Medicare?

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

What insurance does Kylie Davis accept?

Health plans from HealthPartners list Kylie Davis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kylie Davis was last updated on December 23, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.