JORDAN RAY DAVIS LPC
NPI 1740570779
Counselor - Mental Health in Richardson, TX
About Jordan Ray Davis Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN RAY DAVIS LPC (NPI 1740570779) is an individual mental health provider in Richardson, Texas and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jordan Ray Davis Lpc 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.
Medicare Billing Reassignment
Medicare enrollment records show Jordan Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33136
- Reassigned Medicare billing, Texas enrollment
- 128 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RICHARDSON, TX 75082
RICHARDSON, TX 75082
RICHARDSON, TX 75082
RICHARDSON, TX 75082
RICHARDSON, TX 75082
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 Jordan Davis's NPI number?
The NPI number for Jordan Davis is 1740570779. It was assigned to this individual provider in the NPPES registry on April 11, 2011.
Where is Jordan Davis located?
Jordan Davis practices at 2150 Lakeside Blvd Ste 100, Richardson, TX 75082. The listed phone number is (972) 437-4698.
What is Jordan Davis's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jordan Davis enrolled in Medicare?
Yes. Jordan 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.
Which organization bills Medicare for Jordan Davis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Davis reassigns Medicare benefits to Brave Health Medical Group PA (Miami, FL). 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 Jordan Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jordan Davis accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Jordan Davis 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 Jordan Davis was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Jordan Ray Davis, LPC · NPI 1740570779
Mental Health provider in Richardson, Texas. Individual provider, active in the CMS NPPES registry since April 11, 2011.
## Identity
- **NPI:** 1740570779 (Entity type: Individual)
- **Enumerated:** April 11, 2011
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 2150 LAKESIDE BLVD, STE 100, Richardson, TX 75082-4302
- **Phone:** (972) 437-4698 · **Fax:** (972) 690-9309
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Brave Health Medical Group PA (NPI 1225669161, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** December 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1740570779) · Data from the CMS NPPES public registry.