CLARISSA DAVIS
NPI 1720596356
Counselor - Professional in Lawrenceburg, TN

Q: What is Clarissa Davis's NPI number?

The NPI number for Clarissa Davis is 1720596356. It was assigned to this individual provider in the NPPES registry on January 17, 2018.

Q: What is Clarissa Davis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Clarissa Davis was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since January 17, 2018PECOS EnrolledAccepts Medicare Assignment

129 N LOCUST AVE, LAWRENCEBURG, TN 38464(931) 762-7232 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 8, 2025, Jun 13, 2025, Jun 6, 2025 and 3 more (6 updates tracked since 2018).

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About Clarissa Davis NPPES

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

CLARISSA DAVIS (NPI 1720596356) is an individual professional provider in Lawrenceburg, Tennessee, licensed in Mississippi (3318) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1720596356

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameCLARISSA DAVIS

Location Address129 N LOCUST AVELawrenceburg, TN 38464-3757

Mailing Address11373 Cocoa Beach DrRiverview, FL 33569-2951

Phone(931) 762-7232

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateJanuary 17, 2018

Last NPPES UpdateJuly 8, 20256 updates tracked since enumeration

NPPES CertifiedJuly 8, 2025

✔ NPI 1720596356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MS · 3318

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License MH18473 (FL), 21504 (NC), 6801 (TN)

129 N LOCUST AVE, Lawrenceburg, TN 38464

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Molina Healthcare, Oscar Insurance Company.Insurance ›

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

Clarissa 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 ID3274977921

PECOS Enrollment IDI20250709003011

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 20

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

HEATHER MICHELLE LINTON FPMHNP- BC, RN, BSN

Nurse Practitioner (Psychiatric/Mental Health)