ROBERT DAVENPORT
NPI 1457190951
Counselor - Professional in Pocatello, ID
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 and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Robert Davenport 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.
Medicare Billing Reassignment
Medicare enrollment records show Robert Davenport reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Idaho Falls, ID 83404
- Reassigned Medicare billing, Idaho and Wyoming enrollments
- Also billed through NPI 1396578902 (Wyoming)
- 34 clinicians in this Medicare group
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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Robert Davenport's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Robert Davenport reassigns Medicare benefits to High Country Behavioral Health (Idaho Falls, ID). 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 Robert Davenport's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Robert Davenport accept?
Health plans from Blue Cross Blue Shield of Wyoming, Molina Healthcare, PacificSource Health Plans, Select Health and University of Utah Health Plans list Robert Davenport 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 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 5 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.
# Robert Davenport · NPI 1457190951
Professional provider in Pocatello, Idaho. Individual provider, active in the CMS NPPES registry since May 23, 2024.
## Identity
- **NPI:** 1457190951 (Entity type: Individual)
- **Enumerated:** May 23, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 9261605 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 420 S 4TH AVE, Pocatello, ID 83201-6404
- **Phone:** (208) 478-9081
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** High Country Behavioral Health (NPI 1790602613, Idaho Falls, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** May 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1457190951) · Data from the CMS NPPES public registry.