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JOHNNY DAVIS LPC
NPI 1588202873
Counselor - Professional in Little Rock, AR

Active since December 17, 2019PECOS EnrolledAccepts Medicare Assignment
400 HARDIN RD STE 150, LITTLE ROCK, AR 72211(501) 603-2147(501) 603-0324 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 29, 2022, May 26, 2020, Dec 17, 2019 (3 updates tracked since 2019).

About Johnny Davis Lpc NPPES

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

JOHNNY DAVIS LPC (NPI 1588202873) is an individual professional provider in Little Rock, Arkansas, licensed in Arkansas (P2208005) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1588202873
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJOHNNY DAVISCredential: LPC
Location Address400 HARDIN RD STE 150Little Rock, AR 72211-3507
Mailing Address1310 West Main Street, Suite 201Russellville, AR 72801 · (479) 968-2001 · Fax (479) 964-2075
Phone(501) 603-2147
Fax(501) 603-0324
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 17, 2019
Last NPPES UpdateSeptember 29, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2022
✔ NPI 1588202873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AR · P2208005
400 HARDIN RD STE 150, Little Rock, AR 72211
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave 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 and accepts Medicare assignment

Johnny Davis Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799285680
PECOS Enrollment IDI20250825002548
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 20

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

KYLE WEBB QBHP
Case Manager/Care Coordinator
400 HARDIN RD STE 150
LITTLE ROCK, AR 72211
Pulaski County (501) 603-2147
MR. DAVID HENDRIX LCSW
Social Worker (Clinical)
400 HARDIN RD STE 150
LITTLE ROCK, AR 72211
Pulaski County (501) 603-2147
CHARLES A CARTER LMSW
Social Worker
400 HARDIN RD STE 150
LITTLE ROCK, AR 72211
Pulaski County (501) 603-2147
KRISTEN COFFMAN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
400 HARDIN RD STE 150
LITTLE ROCK, AR 72211
Pulaski County (501) 603-2147
GABRIELLE NICOLE CAMPBELL RBT
Behavior Technician
400 HARDIN RD STE 150
LITTLE ROCK, AR 72211
Pulaski County (501) 603-2147
KENNETH L GREEN QBHP
Case Manager/Care Coordinator
400 HARDIN RD STE 150
LITTLE ROCK, AR 72211
Pulaski County (501) 603-2147
JAMIE GERVAIS PLMSW
Social Worker
400 HARDIN RD STE 150
LITTLE ROCK, AR 72211
Pulaski County (501) 406-7863
KAYLA SCOTT LMSW
Social Worker
400 HARDIN RD STE 150
LITTLE ROCK, AR 72211
Pulaski County (501) 603-2147

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 Johnny Davis's NPI number?

The NPI number for Johnny Davis is 1588202873. It was assigned to this individual provider in the NPPES registry on December 17, 2019.

Where is Johnny Davis located?

Johnny Davis practices at 400 Hardin Rd Ste 150, Little Rock, AR 72211. The listed phone number is (501) 603-2147.

What is Johnny Davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Johnny Davis enrolled in Medicare?

Yes. Johnny Davis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Johnny Davis accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage, Octave and Providence Health Plan list Johnny 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 Johnny Davis was last updated on September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.