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ROBERT DAVENPORT
NPI 1457190951
Counselor - Professional in Pocatello, ID

Active since May 23, 2024PECOS Enrolled
420 S 4TH AVE, POCATELLO, ID 83201(208) 478-9081 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: May 26, 2026, Mar 26, 2026 (2 updates tracked since 2026).

About Robert Davenport NPPES

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

ROBERT DAVENPORT (NPI 1457190951) is an individual professional provider in Pocatello, Idaho, licensed in Idaho (9261605) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457190951
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameROBERT DAVENPORT
Location Address420 S 4TH AVEPocatello, ID 83201-6404
Mailing Address420 S 4th AvePocatello, ID 83201-6404 · (208) 590-8259
Phone(208) 478-9081
Sole ProprietorNo
Enumeration DateMay 23, 2024
Last NPPES UpdateMay 26, 20262 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1457190951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in ID · 9261605
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LPC10498 (ID)
420 S 4TH AVE, Pocatello, ID 83201
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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)

Robert Davenport 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.

Other Providers at the Same Location NPPES 4

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

RACHEL BROWN LPC
Counselor (Mental Health)
420 S 4TH AVE
POCATELLO, ID 83201
Bannock County (208) 478-9081
BRYAN LANKFORD LPC
Counselor (Professional)
420 S 4TH AVE
POCATELLO, ID 83201
Bannock County (208) 478-9081
SARAH MICHELLE CLARK LPC
Counselor (Professional)
420 S 4TH AVE
POCATELLO, ID 83201
Bannock County (801) 690-0510
KAITLIN MICHELLE CLAYSON M.COUN, LCPC
Counselor (Professional)
420 S 4TH AVE
POCATELLO, ID 83201
Bannock County (208) 478-9081

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 Robert Davenport's NPI number?

The NPI number for Robert Davenport is 1457190951. It was assigned to this individual provider in the NPPES registry on May 23, 2024.

Where is Robert Davenport located?

Robert Davenport practices at 420 S 4th Ave, Pocatello, ID 83201. The listed phone number is (208) 478-9081.

What is Robert Davenport's specialty?

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

Is Robert Davenport enrolled in Medicare?

Yes. Robert Davenport is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Davenport was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.