1. Home
  2. Directory
  3. Washington
  4. Silverdale
  5. Counselor
  6. NPI Profile

JETTSON DAVIS
NPI 1609540350
Counselor - Mental Health in Silverdale, WA

Active since August 05, 2021Opted out of Medicare · through Sep 10, 2026
9307 BAY SHORE DR NW STE 306, SILVERDALE, WA 98383(360) 230-8071 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 17, 2024, Aug 5, 2021 (2 updates tracked since 2021).

About Jettson Davis NPPES

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

JETTSON DAVIS (NPI 1609540350) is an individual mental health provider in Silverdale, Washington and active in the NPI registry since August 2021. He has opted out of Medicare through September 10, 2026.

NPPES Registry Identity

NPI1609540350
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJETTSON DAVIS
Location Address9307 BAY SHORE DR NW STE 306Silverdale, WA 98383-8219
Mailing AddressPo Box 318Poulsbo, WA 98370-0318
Phone(360) 230-8071
Sole ProprietorYes
Enumeration DateAugust 5, 2021
Last NPPES UpdateApril 17, 20242 updates tracked since enumeration
NPPES CertifiedApril 17, 2024
✔ NPI 1609540350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
9307 BAY SHORE DR NW STE 306, Silverdale, WA 98383
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jettson Davis has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 10, 2024 through September 10, 2026.

Opt-Out Effective DateSeptember 10, 2024
Opt-Out In Effect ThroughSeptember 10, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Jettson Davis's NPI number?

The NPI number for Jettson Davis is 1609540350. It was assigned to this individual provider in the NPPES registry on August 5, 2021.

Where is Jettson Davis located?

Jettson Davis practices at 9307 Bay Shore Dr NW Ste 306, Silverdale, WA 98383. The listed phone number is (360) 230-8071.

What is Jettson Davis's specialty?

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

Is Jettson Davis enrolled in Medicare?

No. Jettson Davis has opted out of Medicare through September 10, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jettson Davis accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jettson 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 Jettson Davis was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.