1. Home
  2. Directory
  3. Minnesota
  4. Bloomington
  5. Counselor
  6. NPI Profile

JEREMY KEITH DAVIS LPCC, LPC, LADC, SAC
NPI 1518208206
Counselor - Mental Health in Bloomington, MN

Active since March 06, 2013PECOS Enrolled
8200 HUMBOLDT AVE S STE 100, BLOOMINGTON, MN 55431(952) 454-0421 Get Directions Write a Review

NPPES record last updated: November 5, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeremy Keith Davis Lpcc, Lpc, Ladc, Sac NPPES

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

JEREMY KEITH DAVIS LPCC, LPC, LADC, SAC (NPI 1518208206) is an individual mental health provider in Bloomington, Minnesota, licensed in Minnesota (2076) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518208206
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJEREMY KEITH DAVISCredential: LPCC, LPC, LADC, SAC
Location Address8200 HUMBOLDT AVE S STE 100Bloomington, MN 55431-1433
Mailing Address405 Stageline RdHudson, WI 54016-1793 · (715) 531-6000
Phone(952) 454-0421
Sole ProprietorNo
Enumeration DateMarch 6, 2013
Last NPPES UpdateNovember 5, 2019
✔ NPI 1518208206 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 MN · 2076✔ Licensed in WI · 5690-125
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 15822-131 (WI), 305108 (MN)
8200 HUMBOLDT AVE S STE 100, Bloomington, MN 55431
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica 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)

Jeremy Keith Davis Lpcc, Lpc, Ladc, Sac 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 19

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

HANAN AWEYS HASSAN
Behavior Technician
8200 HUMBOLDT AVE S STE 100
BLOOMINGTON, MN 55431
Hennepin County (952) 236-7891
MARYAMA HASSAN
Counselor (Mental Health)
8200 HUMBOLDT AVE S STE 100
BLOOMINGTON, MN 55431
Hennepin County (952) 454-0421
DEKHA ABDI ALI
Behavior Analyst
8200 HUMBOLDT AVE S STE 100
BLOOMINGTON, MN 55431
Hennepin County (952) 236-7891
ELIZABETH FRANCES HANLON
Behavior Technician
8200 HUMBOLDT AVE S STE 100
BLOOMINGTON, MN 55431
Hennepin County (651) 357-5966
ILWAD AHMED ALI
Counselor (Mental Health)
8200 HUMBOLDT AVE S STE 100
BLOOMINGTON, MN 55431
Hennepin County (952) 454-0421
TAVARES EUELLS
Behavior Technician
8200 HUMBOLDT AVE S STE 100
BLOOMINGTON, MN 55431
Hennepin County (952) 236-7891
NIMO A MOHAMUD
Behavior Technician
8200 HUMBOLDT AVE S STE 100
BLOOMINGTON, MN 55431
Hennepin County (952) 236-7891
DAVID AURELIO JARA
Counselor (Mental Health)
8200 HUMBOLDT AVE S STE 100
BLOOMINGTON, MN 55431
Hennepin County (952) 236-7891

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 Jeremy Davis's NPI number?

The NPI number for Jeremy Davis is 1518208206. It was assigned to this individual provider in the NPPES registry on March 6, 2013.

Where is Jeremy Davis located?

Jeremy Davis practices at 8200 Humboldt Ave S Ste 100, Bloomington, MN 55431. The listed phone number is (952) 454-0421.

What is Jeremy Davis's specialty?

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

Is Jeremy Davis enrolled in Medicare?

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

What insurance does Jeremy Davis accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Security Health Plan and UnitedHealthcare list Jeremy 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 Jeremy Davis was last updated on November 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.