CARLY DAVIS
NPI 1598628406
Marriage & Family Therapist in Minneapolis, MN
About Carly Davis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLY DAVIS (NPI 1598628406) is an individual marriage & family therapist in Minneapolis, Minnesota and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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)
Carly Davis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Carly Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Minneapolis, MN 55408
- Reassigned Medicare billing, Minnesota enrollment
- 152 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 3
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 Carly Davis's NPI number?
The NPI number for Carly Davis is 1598628406. It was assigned to this individual provider in the NPPES registry on December 8, 2025.
Where is Carly Davis located?
Carly Davis practices at 3112 Hennepin Ave, Minneapolis, MN 55408. The listed phone number is (612) 293-8814.
What is Carly Davis's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Carly Davis enrolled in Medicare?
Yes. Carly Davis is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Carly Davis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carly Davis reassigns Medicare benefits to Lyn-Lake Psychotherapy And Wellness Ltd. (Minneapolis, MN). 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 Carly Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carly Davis accept?
Health plans from HealthPartners list Carly 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 Carly Davis was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Carly Davis · NPI 1598628406
Marriage & Family Therapist provider in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since December 8, 2025.
## Identity
- **NPI:** 1598628406 (Entity type: Individual)
- **Enumerated:** December 8, 2025
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3112 HENNEPIN AVE, Minneapolis, MN 55408-2619
- **Phone:** (612) 293-8814
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Lyn-Lake Psychotherapy And Wellness Ltd. (NPI 1609355163, Minneapolis, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** December 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1598628406) · Data from the CMS NPPES public registry.