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JIM DYLAN DAVIS CAPRC, CPSP
NPI 1679361893
Peer Specialist in Lafayette, IN

Active since April 28, 2025
914 SOUTH ST, LAFAYETTE, IN 47901(765) 742-1088 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jim Dylan Davis Caprc, Cpsp NPPES

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

JIM DYLAN DAVIS CAPRC, CPSP (NPI 1679361893) is an individual peer specialist in Lafayette, Indiana and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1679361893
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJIM DYLAN DAVISCredential: CAPRC, CPSP
Location Address914 SOUTH STLafayette, IN 47901-1416
Mailing Address531 Duroc Ct Apt ALafayette, IN 47909-6779 · (812) 508-2980
Phone(765) 742-1088
Sole ProprietorNo
Enumeration DateApril 28, 2025
NPPES CertifiedApril 28, 2025
✔ NPI 1679361893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
914 SOUTH ST, Lafayette, IN 47901
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Other Providers at the Same Location NPPES 9

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

WHITNEY MORGAN GAMIEL PEER SPECIALIST
Peer Specialist
914 SOUTH ST
LAFAYETTE, IN 47901
Tippecanoe County (765) 742-1800
MENTAL HEALTH AMERICA WABASH VALLEY REGION INC
Counselor (Mental Health)
914 SOUTH ST
LAFAYETTE, IN 47901
Tippecanoe County (765) 742-1800
MR. JONATHAN ESTIBER GARCIA-VENTURA CPSP
Peer Specialist
914 SOUTH ST
LAFAYETTE, IN 47901
Tippecanoe County (765) 742-1800
SARAH O'NEILL
Peer Specialist
914 SOUTH ST
LAFAYETTE, IN 47901
Tippecanoe County (765) 742-1800
MS. BETH GRETENCORD CPSP
Peer Specialist
914 SOUTH ST
LAFAYETTE, IN 47901
Tippecanoe County (765) 742-7800
POLLY KING CPSP
Peer Specialist
914 SOUTH ST
LAFAYETTE, IN 47901
Tippecanoe County (765) 742-1800
MS. MICHELLE ANN ZAREMBA MSW, LCSW
Social Worker (Clinical)
914 SOUTH ST
LAFAYETTE, IN 47901
Tippecanoe County (765) 742-1800
MENTAL HEALTH AMERICA WABASH VALLEY REGION
Case Manager/Care Coordinator
914 SOUTH ST
LAFAYETTE, IN 47901
Tippecanoe County (765) 742-1800

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 Jim Davis's NPI number?

The NPI number for Jim Davis is 1679361893. It was assigned to this individual provider in the NPPES registry on April 28, 2025.

Where is Jim Davis located?

Jim Davis practices at 914 South St, Lafayette, IN 47901. The listed phone number is (765) 742-1088.

What is Jim Davis's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jim Davis was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.