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AUDRA COLLEEN DAVIS
NPI 1578801726
Counselor - Mental Health in Tampa, FL

Active since January 23, 2013PECOS Enrolled
12512 BRUCE B DOWNS BLVD, TAMPA, FL 33612(813) 977-8700(813) 971-2029 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 28, 2026, Jul 2, 2025, Jun 17, 2025 (3 updates tracked since 2025).

About Audra Colleen Davis NPPES

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

AUDRA COLLEEN DAVIS (NPI 1578801726) is an individual mental health provider in Tampa, Florida and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578801726
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAUDRA COLLEEN DAVIS
Location Address12512 BRUCE B DOWNS BLVDTampa, FL 33612-9209
Mailing Address2995 Drew St Fl 2Clearwater, FL 33759-3012 · (727) 532-0002
Phone(813) 977-8700
Fax(813) 971-2029
Sole ProprietorYes
Enumeration DateJanuary 23, 2013
Last NPPES UpdateApril 28, 20263 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1578801726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
12512 BRUCE B DOWNS BLVD, Tampa, FL 33612
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Audra Colleen Davis 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.

Medicare Billing Reassignment

Medicare enrollment records show Audra Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northside Behavioral Health Center, Inc.
5.9 mi
Mental Health (Including Community Mental Health Center)
12512 BRUCE B DOWNS BLVD
Tampa, FL 33612
  • Reassigned Medicare billing, Florida enrollment
  • 42 clinicians in this Medicare group
NPI 1669498002 (813) 977-8700

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 20

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

MR. GARY A. VITACCO-ROBLES LMHC, NCC
Counselor (Mental Health)
12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Hillsborough County (813) 977-8700
KARLA DANIELA CALZADA MORALES M.D.
Psychiatry & Neurology (Psychiatry)
12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Hillsborough County (813) 977-8700
CHERYL A HART
Social Worker
12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Hillsborough County (813) 977-8700
DELIA FUENTES
Counselor (Mental Health)
12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Hillsborough County (813) 644-6386
NORTHSIDE MENTAL HEALTH CENTER
Community/Behavioral Health
12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Hillsborough County (813) 977-8700
MRS. KATHRYN HOUSE FANNING A.R.N.P.
Nurse Practitioner (Psychiatric/Mental Health)
12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Hillsborough County (813) 977-8700
MR. ERIC BROTHERTON
Counselor (Mental Health)
12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Hillsborough County (813) 977-8700
MRS. CAROLINE GARCIA B.A
Case Manager/Care Coordinator
12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Hillsborough County (813) 977-8700

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 Audra Davis's NPI number?

The NPI number for Audra Davis is 1578801726. It was assigned to this individual provider in the NPPES registry on January 23, 2013.

Where is Audra Davis located?

Audra Davis practices at 12512 Bruce B Downs Blvd, Tampa, FL 33612. The listed phone number is (813) 977-8700.

What is Audra Davis's specialty?

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

Is Audra Davis enrolled in Medicare?

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

Which organization bills Medicare for Audra Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Audra Davis reassigns Medicare benefits to Northside Behavioral Health Center, Inc. (Tampa, FL). 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 Audra Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Audra Davis accept?

Health plans from Ambetter Health, Ambetter of Alabama, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Audra 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 Audra Davis was last updated on April 28, 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.