CALEB DAVIS
NPI 1689061251
Counselor in Peoria, IL

Q: What is Caleb Davis's NPI number?

The NPI number for Caleb Davis is 1689061251. It was assigned to this individual provider in the NPPES registry on April 22, 2015.

Q: What is Caleb Davis's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Caleb Davis was last updated on April 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since April 22, 2015PECOS EnrolledAccepts Medicare Assignment

515 NE GLEN OAK AVE, SUITE 101, PEORIA, IL 61603(309) 655-7378(309) 655-4609 Get Directions Write a Review

NPPES record last updated: April 22, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Caleb Davis NPPES

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

CALEB DAVIS (NPI 1689061251) is an individual counselor in Peoria, Illinois, licensed in Illinois (149.016847) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1689061251

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameCALEB DAVIS

Location Address515 NE GLEN OAK AVE, SUITE 101Peoria, IL 61603-3136

Mailing Address515 Ne Glen Oak Ave, Suite 101Peoria, IL 61603-3136 · (309) 655-7378 · Fax (309) 655-4609

Phone(309) 655-7378

Fax(309) 655-4609

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateApril 22, 2015

✔ NPI 1689061251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in IL · 149.016847

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

515 NE GLEN OAK AVE, Peoria, IL 61603

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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

Caleb Davis 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 ID1254642556

PECOS Enrollment IDI20150612000295

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 4

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

UNIVERSITY OF ILLINOIS

Pediatrics (Neurodevelopmental Disabilities)

515 NE GLEN OAK AVE, PEDIATRIC NEUROLOGY
PEORIA, IL 61603

Peoria County (309) 624-9844

BLAS ZELAYA MD

Pediatrics (Neurodevelopmental Disabilities)

515 NE GLEN OAK AVE, PEDIATRIC NEUROLOGY #308
PEORIA, IL 61603

Peoria County (309) 624-9844

ROBERT A PFLEDERER MD

Internal Medicine (Nephrology)

515 NE GLEN OAK AVE, SUITE 108
PEORIA, IL 61603

Peoria County (309) 676-8123

DANIEL M COURI LTD

Internal Medicine (Cardiovascular Disease)

515 NE GLEN OAK AVE, SUITE 105
PEORIA, IL 61603

Peoria County (309) 674-2002

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 Caleb Davis's NPI number?

The NPI number for Caleb Davis is 1689061251. It was assigned to this individual provider in the NPPES registry on April 22, 2015.

Where is Caleb Davis located?

Caleb Davis practices at 515 NE Glen Oak Ave Suite 101, Peoria, IL 61603. The listed phone number is (309) 655-7378.

What is Caleb Davis's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Caleb Davis enrolled in Medicare?

Yes. Caleb 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.

When was this NPI record last updated?

The NPPES record for Caleb Davis was last updated on April 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.