MRS. KIMBERLY BERGSTRESSER DAVIS LMHC
NPI 1770968075
Community/Behavioral Health in Stanley, NY

Q: What is Kimberly Davis's NPI number?

The NPI number for Kimberly Davis is 1770968075. It was assigned to this individual provider in the NPPES registry on July 28, 2015.

Q: What is Kimberly Davis's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: Is Kimberly Davis enrolled in Medicare?

No. Kimberly Davis has opted out of Medicare through January 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Davis was last updated on June 30, 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.

Active since July 28, 2015Opted out of Medicare · through Jan 8, 2028

2106 W MAIN ST, STANLEY, NY 14561(585) 469-8491 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Mrs. Kimberly Bergstresser Davis Lmhc NPPES

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

MRS. KIMBERLY BERGSTRESSER DAVIS LMHC (NPI 1770968075) is an individual community/behavioral health provider in Stanley, New York, licensed in New York (008987-01) and active in the NPI registry since July 2015. She has opted out of Medicare through January 8, 2028.

NPPES Registry Identity

NPI1770968075

Entity TypeIndividualFemale

Primary Taxonomy251S00000X

Provider Legal NameMRS. KIMBERLY BERGSTRESSER DAVISCredential: LMHC

Location Address2106 W MAIN STStanley, NY 14561-9424

Mailing Address2106 W Main StStanley, NY 14561-9424 · (585) 469-8491

Phone(585) 469-8491

Sole ProprietorYes

Enumeration DateJuly 28, 2015

Last NPPES UpdateJune 30, 2021

NPPES CertifiedJune 30, 2021

✔ NPI 1770968075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in NY · 008987-01

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

2106 W MAIN ST, Stanley, NY 14561

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Mrs. Kimberly Bergstresser Davis Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 8, 2026 through January 8, 2028.

Opt-Out Effective DateJanuary 8, 2026

Opt-Out In Effect ThroughJanuary 8, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Kimberly Davis's NPI number?

The NPI number for Kimberly Davis is 1770968075. It was assigned to this individual provider in the NPPES registry on July 28, 2015.

Where is Kimberly Davis located?

Kimberly Davis practices at 2106 W Main St, Stanley, NY 14561. The listed phone number is (585) 469-8491.

What is Kimberly Davis's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Kimberly Davis enrolled in Medicare?

No. Kimberly Davis has opted out of Medicare through January 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kimberly Davis accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Kimberly 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 Kimberly Davis was last updated on June 30, 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.