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LORI LYNN DAVENPORT LPC
NPI 1689171654
Counselor - Professional in Payson, AZ

Active since April 06, 2018PECOS Enrolled
901 E PARK DR, PAYSON, AZ 85541(928) 970-1027 Get Directions Write a Review

NPPES record last updated: March 13, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lori Lynn Davenport Lpc NPPES

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

LORI LYNN DAVENPORT LPC (NPI 1689171654) is an individual professional provider in Payson, Arizona, licensed in Arizona (LPC-17175) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1689171654
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLORI LYNN DAVENPORTCredential: LPC
Location Address901 E PARK DRPayson, AZ 85541-4442
Mailing Address901 E Park DrPayson, AZ 85541-4442 · (928) 970-1027
Phone(928) 970-1027
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 6, 2018
Last NPPES UpdateMarch 13, 2021
NPPES CertifiedMarch 13, 2021
✔ NPI 1689171654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AZ · LPC-17175
901 E PARK DR, Payson, AZ 85541
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lori Lynn Davenport Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820509813
PECOS Enrollment IDI20250617001020
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.

Medicare Billing Reassignment

Medicare enrollment records show Lori Davenport reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southwest Behavioral Health Services Inc
1.2 mi
Mental Health (Including Community Mental Health Center)
1111 E CEDAR LN, SUITE B
Payson, AZ 85541
  • Reassigned Medicare billing, Arizona enrollment
  • 137 clinicians in this Medicare group
NPI 1366618068 (928) 468-8055

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Lori Davenport's NPI number?

The NPI number for Lori Davenport is 1689171654. It was assigned to this individual provider in the NPPES registry on April 6, 2018.

Where is Lori Davenport located?

Lori Davenport practices at 901 E Park Dr, Payson, AZ 85541. The listed phone number is (928) 970-1027.

What is Lori Davenport's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Lori Davenport enrolled in Medicare?

Yes. Lori Davenport is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lori Davenport's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lori Davenport reassigns Medicare benefits to Southwest Behavioral Health Services Inc (Payson, AZ). 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 Lori Davenport's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lori Davenport accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Lori Davenport 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 Lori Davenport was last updated on March 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.