REDD EDEEJAHNAI DAVIS
NPI 1629418710
Counselor - Mental Health in Hemet, CA

Active since July 03, 2013PECOS Enrolled
3095 CHRISTIANNE CIR, HEMET, CA 92545(951) 880-5597 Get Directions Write a Review

NPPES record last updated: April 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Redd Edeejahnai Davis NPPES

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

REDD EDEEJAHNAI DAVIS (NPI 1629418710) is an individual mental health provider in Hemet, California, licensed in California (ASW63685) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629418710
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameREDD EDEEJAHNAI DAVIS
Location Address3095 CHRISTIANNE CIRHemet, CA 92545-1592
Mailing AddressPo Box 281San Jacinto, CA 92581-0281 · (951) 880-5597
Sole ProprietorYes
Enumeration DateJuly 3, 2013
Last NPPES UpdateApril 22, 2023
NPPES CertifiedApril 22, 2023
NPI 1629418710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CA · ASW63685
3095 CHRISTIANNE CIR, Hemet, CA 92545

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Redd Edeejahnai 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.

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 Redd Davis's NPI number?

The NPI number for Redd Davis is 1629418710. It was assigned to this individual provider in the NPPES registry on July 3, 2013.

Where is Redd Davis located?

Redd Davis practices at 3095 Christianne Cir, Hemet, CA 92545. The listed phone number is (951) 880-5597.

What is Redd Davis's specialty?

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

Is Redd Davis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Redd Davis was last updated on April 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.