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CONQUERING WALLS COUNSELING AGENCY, LLC
NPI 1568085876
Clinic/Center - Adult Mental Health in Reynoldsburg, OH

Active since May 20, 2020
6810 E MAIN ST STE 201, REYNOLDSBURG, OH 43068(614) 357-0686(614) 725-0402 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 20, 2024, Aug 3, 2021, May 20, 2020 (3 updates tracked since 2020).

About Conquering Walls Counseling Agency, Llc NPPES

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

CONQUERING WALLS COUNSELING AGENCY, LLC (NPI 1568085876) is a healthcare organization registered as an adult mental health in Reynoldsburg, Ohio and active in the NPI registry since May 2020. The organization lists Laura I Davis-perry, Founder/owner, as its authorized official.

NPPES Registry Identity

NPI1568085876
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameLAURA IRENE DAVIS
Location Address6810 E MAIN ST STE 201Reynoldsburg, OH 43068-2217
Mailing Address6810 E Main St Ste 201, Mailbox #4Reynoldsburg, OH 43068-2217 · (614) 357-0686 · Fax (614) 725-0402
Phone(614) 357-0686
Fax(614) 725-0402
Organization SubpartNo
Authorized OfficialLaura I Davis-perryFounder/owner · (614) 586-3830
Enumeration DateMay 20, 2020
Last NPPES UpdateNovember 20, 20243 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
✔ NPI 1568085876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
6810 E MAIN ST STE 201, Reynoldsburg, OH 43068
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Other Names 1

Doing Business AsConquering Walls Counseling Agency, Llc

Other Identifiers 1

OtherI.1700380OH · Lisw-supv

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Conquering Walls Counseling Agency, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOhioEnrollment IDO20210930002725Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Conquering Walls Counseling Agency, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Laura Davis-Perry, LISW
Clinical Social Worker
NPI 1407293681
6810 EAST MAIN STREET SUITE 201 - 4
Reynoldsburg, OH 43068
(614) 357-0686
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Laura Irene Davis's NPI number?

The NPI number for Laura Irene Davis is 1568085876. It was assigned to this organization in the NPPES registry on May 20, 2020. The provider is doing business as Conquering Walls Counseling Agency, LLC.

Where is Laura Irene Davis located?

Laura Irene Davis is located at 6810 E Main St Ste 201, Reynoldsburg, OH 43068. The listed phone number is (614) 357-0686.

What is Laura Irene Davis's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Laura Irene Davis enrolled in Medicare?

Yes. Laura Irene Davis is registered in the Medicare PECOS enrollment system.

When is Laura Irene Davis's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Ohio, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Laura Irene Davis?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Laura Irene Davis. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Laura Irene Davis was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.