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JORDAN RAY DAVIS LPC
NPI 1740570779
Counselor - Mental Health in Richardson, TX

Active since April 11, 2011PECOS Enrolled
2150 LAKESIDE BLVD, STE 100, RICHARDSON, TX 75082(972) 437-4698(972) 690-9309 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1740570779
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJORDAN RAY DAVISCredential: LPC
Location Address2150 LAKESIDE BLVD, STE 100Richardson, TX 75082-4302
Mailing Address2150 Lakeside Blvd Ste 100Richardson, TX 75082-4467 · (972) 437-4698 · Fax (972) 690-9309
Phone(972) 437-4698
Fax(972) 690-9309
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 11, 2011
Last NPPES UpdateDecember 10, 2025
NPPES CertifiedDecember 10, 2025
✔ NPI 1740570779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselorTaxonomy 101Y00000X · License 66808 (TX)
2150 LAKESIDE BLVD, Richardson, TX 75082
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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 (PECOS)

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

PECOS PAC ID6103310925
PECOS Enrollment IDI20251209004580
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.

DR. KIMBERLY MICHELLE DOBBINS MD
Psychiatry & Neurology (Psychiatry)
2150 LAKESIDE BLVD, SUITE 100
RICHARDSON, TX 75082
Dallas County (972) 437-4698
SUMMER N VINSON LPC
Counselor (Professional)
2150 LAKESIDE BLVD, SUITE 100
RICHARDSON, TX 75082
Dallas County (972) 437-4698
DR. TAMELLA J. TRULSON M.D.
Psychiatry & Neurology (Psychiatry)
2150 LAKESIDE BLVD, SUITE 100
RICHARDSON, TX 75082
Dallas County (972) 437-4698
PAUL MEIER CLINIC, P. A.
Psychiatry & Neurology (Psychiatry)
2150 LAKESIDE BLVD, SUITE 100
RICHARDSON, TX 75082
Dallas County (972) 437-4698
JASON MILLS LPC
Counselor (Professional)
2150 LAKESIDE BLVD, #100
RICHARDSON, TX 75082
Dallas County (972) 437-4698
MS. GINA LYN LANE AALUND LCSW, PLLC
Social Worker (Clinical)
2150 LAKESIDE BLVD, 225E
RICHARDSON, TX 75082
Dallas County (972) 907-5233
MARCY BLAKE
Counselor (Professional)
2150 LAKESIDE BLVD, SUITE 100
RICHARDSON, TX 75082
Dallas County (972) 437-4698
PAUL MEIER DAY PROGRAM, INC.
Psychiatry & Neurology (Psychiatry)
2150 LAKESIDE BLVD, SUITE 100
RICHARDSON, TX 75082
Dallas County (972) 437-4698

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 enrollment system.

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 8 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.