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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE DAVIS LCMHC
NPI 1477015881
Counselor - Mental Health in New Bern, NC

Active since April 03, 2019PECOS Enrolled
2409 GRACE AVE, NEW BERN, NC 28562(910) 759-5959(910) 516-5036 Get Directions Write a Review

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

Record update history: Jun 20, 2025, Oct 21, 2022, May 24, 2021 and 1 more (4 updates tracked since 2019).

About Nicole Davis Lcmhc NPPES

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

NICOLE DAVIS LCMHC (NPI 1477015881) is an individual mental health provider in New Bern, North Carolina, licensed in North Carolina (14357) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1477015881
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE DAVISCredential: LCMHC
Location Address2409 GRACE AVENew Bern, NC 28562-4445
Mailing Address2409 Grace AveNew Bern, NC 28562-4445 · (910) 759-5959 · Fax (910) 516-5036
Phone(910) 759-5959
Fax(910) 516-5036
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateApril 3, 2019
Last NPPES UpdateOctober 25, 20264 updates tracked since enumeration
NPPES CertifiedOctober 25, 2026
✔ NPI 1477015881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in NC · 14357✔ Licensed in NC · A14357
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 14357 (NC)
2409 GRACE AVE, New Bern, NC 28562
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Other Names 1

Former Name (1)Nicole Wagoner Lcmhc

Secondary Practice Locations 3

Location 1509C Broad StNew Bern, NC 28560-4803 · Phone (910) 759-5959 · Fax (910) 516-5036
Location 2205 US Highway 117 S Unit 1Burgaw, NC 28425-6704 · Phone (910) 759-5959 · Fax (910) 516-5036
Location 3233 Middle St Ste 105New Bern, NC 28560-2101 · Phone (910) 759-5959

Other Identifiers 2

Medicaid1477015881NC
Medicaid1295468742NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc 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 (PECOS)

Nicole Davis Lcmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779044631
PECOS Enrollment IDI20260910004067
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 6

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

OCEAN'S CREST COUNSELING CENTER, PLLC
Counselor (Mental Health)
2409 GRACE AVE
NEW BERN, NC 28562
Craven County (910) 759-5959
JENNIFER HILLIARD
Counselor (Mental Health)
2409 GRACE AVE
NEW BERN, NC 28562
Craven County (910) 759-5959
KAYLA BORGOLINI LCSWA
Social Worker (Clinical)
2409 GRACE AVE
NEW BERN, NC 28562
Craven County (910) 759-5959
CHARMEEN ANDREA PENN MSW, LCSW
Social Worker (Clinical)
2409 GRACE AVE
NEW BERN, NC 28562
Craven County (252) 368-6161
LAURA ANN BOSWELL LCMHC
Counselor (Mental Health)
2409 GRACE AVE
NEW BERN, NC 28562
Craven County (910) 759-5959
DR. RICHARD FORBES GORMAN DDS, MSCO,PA
Dentist (Orthodontics and Dentofacial Orthopedics)
2409 GRACE AVE
NEW BERN, NC 28562
Craven County (252) 638-8155

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 Nicole Davis's NPI number?

The NPI number for Nicole Davis is 1477015881. It was assigned to this individual provider in the NPPES registry on April 3, 2019. The provider is also known as Nicole Wagoner Lcmhc.

Where is Nicole Davis located?

Nicole Davis practices at 2409 Grace Ave, New Bern, NC 28562. The listed phone number is (910) 759-5959.

What is Nicole Davis's specialty?

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

Is Nicole Davis enrolled in Medicare?

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

What insurance does Nicole Davis accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Nicole 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 Nicole Davis was last updated on October 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 days 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.