CARMEN DAVIS
NPI 1720780786
Counselor - Professional in Charlotte, NC

Q: What is Innovations Counseling And Consulting Services PLLC's specialty?

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

Active since March 21, 2023

1905 J N PEASE PL STE 202, CHARLOTTE, NC 28262(360) 339-3838(704) 981-9567 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Carmen Davis NPPES

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

CARMEN DAVIS (NPI 1720780786) is a healthcare organization registered as a professional in Charlotte, North Carolina and active in the NPI registry since March 2023. The organization lists Carmen Davis, Owner And Clinician, as its authorized official.

NPPES Registry Identity

NPI1720780786

Entity TypeOrganization

Primary Taxonomy101YP2500X

Legal Business NameINNOVATIONS COUNSELING AND CONSULTING SERVICES PLLC

Location Address1905 J N PEASE PL STE 202Charlotte, NC 28262-4539

Mailing Address1905 J N Pease Pl Ste 202Charlotte, NC 28262-4539 · (360) 339-3838

Phone(360) 339-3838

Fax(704) 981-9567

Organization SubpartNo

Authorized OfficialCarmen DavisOwner And Clinician · (360) 339-3838

Enumeration DateMarch 21, 2023

Last NPPES UpdateJanuary 8, 2024

NPPES CertifiedJanuary 8, 2024

✔ NPI 1720780786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

1905 J N PEASE PL STE 202, Charlotte, NC 28262

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Other Names 1

Other NameCarmen Davis

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carmen Davis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Carmen Davis, which bills Medicare for the services this clinician delivers.

Clinician (1)

Carmen Davis, PH.D, LCMHCS, NCC

Mental Health Counselor

NPI 1063640894

1905 J N PEASE PL STE 202
Charlotte, NC 28262

(360) 339-3838

✔ PECOSSame address

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 Innovations Counseling And Consulting Services PLLC's NPI number?

The NPI number for Innovations Counseling And Consulting Services PLLC is 1720780786. It was assigned to this organization in the NPPES registry on March 21, 2023. The provider is also known as Carmen Davis.

Where is Innovations Counseling And Consulting Services PLLC located?

Innovations Counseling And Consulting Services PLLC is located at 1905 J N Pease Pl Ste 202, Charlotte, NC 28262. The listed phone number is (360) 339-3838.

What is Innovations Counseling And Consulting Services PLLC's specialty?

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

Is Innovations Counseling And Consulting Services PLLC enrolled in Medicare?

Yes. Innovations Counseling And Consulting Services PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovations Counseling And Consulting Services PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Innovations Counseling And Consulting Services PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Innovations Counseling And Consulting Services PLLC was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.