JEREMY KEITH DAVIS LPCC, LPC, LADC, SAC
NPI 1518208206
Counselor - Mental Health in Bloomington, MN
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 and maintains a secondary practice location in Hudson.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignments
6Medicare enrollment records show Jeremy Davis reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bloomington, MN 55420
- Reassigned Medicare billing, Minnesota and Wisconsin enrollments
- Also billed through NPI 1710924683 (Wisconsin)
- 2,274 clinicians in this Medicare group
Stillwater, MN 55082
- Reassigned Medicare billing, Minnesota enrollment
- 94 clinicians in this Medicare group
Hudson, WI 54016
- Reassigned Medicare billing, Wisconsin enrollment
- 158 clinicians in this Medicare group
New Richmond, WI 54017
- Reassigned Medicare billing, Wisconsin enrollment
- 357 clinicians in this Medicare group
Saint Croix Falls, WI 54024
- Reassigned Medicare billing, Wisconsin enrollment
- 453 clinicians in this Medicare group
Amery, WI 54001
- Reassigned Medicare billing, Wisconsin enrollment
- 348 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 19
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 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.
Which organizations bill Medicare for Jeremy Davis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Davis reassigns Medicare benefits to 6 organizations: Group Health, Inc. (Bloomington, MN), Lakeview Memorial Hospital Association Inc. (Stillwater, MN), Hudson Hospital, Inc. (Hudson, WI), Westfields Hospital, Inc. (New Richmond, WI), St. Croix Regional Medical Center (Saint Croix Falls, WI) and 1 more organization, listed in the Medicare section above. Each 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 Jeremy Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeremy Davis accept?
Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, 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.
# Jeremy Keith Davis, LPCC, LPC, LADC, SAC · NPI 1518208206
Mental Health provider in Bloomington, Minnesota. Individual provider, active in the CMS NPPES registry since March 6, 2013.
## Identity
- **NPI:** 1518208206 (Entity type: Individual)
- **Enumerated:** March 6, 2013
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 2076 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 8200 HUMBOLDT AVE S STE 100, Bloomington, MN 55431-1433
- **Phone:** (952) 454-0421
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Group Health, Inc. (NPI 1922153881, Bloomington, MN); Lakeview Memorial Hospital Association Inc. (NPI 1821114729, Stillwater, MN); Hudson Hospital, Inc. (NPI 1255532875, Hudson, WI); Westfields Hospital, Inc. (NPI 1881640183, New Richmond, WI); St. Croix Regional Medical Center (NPI 1043240922, Saint Croix Falls, WI); and 1 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 5, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1518208206) · Data from the CMS NPPES public registry.