1. Home
  2. Directory
  3. Florida
  4. Milton
  5. Counselor
  6. NPI Profile

MR. JACOB MICHAEL DAVIS LMHC
NPI 1770975625
Counselor - Mental Health in Milton, FL

Active since March 02, 2015PECOS EnrolledAccepts Medicare Assignment
5642 JONES ST, MILTON, FL 32570(850) 626-7779(850) 626-7171 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 2, 2023, Aug 12, 2022 (2 updates tracked since 2022).

About Mr. Jacob Michael Davis Lmhc NPPES

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

MR. JACOB MICHAEL DAVIS LMHC (NPI 1770975625) is an individual mental health provider in Milton, Florida, licensed in Florida (MH15870) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1770975625
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JACOB MICHAEL DAVISCredential: LMHC
Location Address5642 JONES STMilton, FL 32570-2304
Mailing Address5642 Jones StMilton, FL 32570-2304 · (850) 626-7779 · Fax (850) 626-7171
Phone(850) 626-7779
Fax(850) 626-7171
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 2, 2015
Last NPPES UpdateOctober 2, 20232 updates tracked since enumeration
NPPES CertifiedOctober 2, 2023
✔ NPI 1770975625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH15870
5642 JONES ST, Milton, FL 32570
Open in Google Maps ↗

Other Identifiers 1

Medicaid119123400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Cigna Healthcare and more.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

Mr. Jacob Michael Davis Lmhc 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 ID2062856099
PECOS Enrollment IDI20240219000973
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.

Medicare Billing Reassignment

Medicare enrollment records show Jacob Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Santa Rosa Counseling Center LLC
Same address
Mental Health
5642 JONES ST
Milton, FL 32570
  • Reassigned Medicare billing, Florida enrollment
  • 13 clinicians in this Medicare group
NPI 1962697441 (850) 626-7779

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 20

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

SHUNDRA BROWN FREEMAN
Counselor (Mental Health)
5642 JONES ST
MILTON, FL 32570
Santa Rosa County (850) 626-7779
MS. CASEY FLETCHER LCSW
Social Worker (Clinical)
5642 JONES ST
MILTON, FL 32570
Santa Rosa County (850) 626-7779
MRS. ANN MIGNON MATTINGLY GILLIS M.ED
Counselor (Mental Health)
5642 JONES ST
MILTON, FL 32570
Santa Rosa County (850) 626-7779
MONICA MAY DAVIS MA
Marriage & Family Therapist
5642 JONES ST
MILTON, FL 32570
Santa Rosa County (850) 626-7779
ALISON AINSWORTH BEDARD
Counselor (Mental Health)
5642 JONES ST
MILTON, FL 32570
Santa Rosa County (850) 626-7779
ERIN HASLAG LCSW
Social Worker (Clinical)
5642 JONES ST
MILTON, FL 32570
Santa Rosa County (850) 626-7779
CHRISTOPHER DIXON
Counselor (Mental Health)
5642 JONES ST
MILTON, FL 32570
Santa Rosa County (850) 626-7779
JENNIFER ANN VAUGHN MS, LMHC
Counselor (Mental Health)
5642 JONES ST
MILTON, FL 32570
Santa Rosa County (850) 626-7779

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 Jacob Davis's NPI number?

The NPI number for Jacob Davis is 1770975625. It was assigned to this individual provider in the NPPES registry on March 2, 2015.

Where is Jacob Davis located?

Jacob Davis practices at 5642 Jones St, Milton, FL 32570. The listed phone number is (850) 626-7779.

What is Jacob Davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jacob Davis enrolled in Medicare?

Yes. Jacob 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 Jacob Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Davis reassigns Medicare benefits to Santa Rosa Counseling Center LLC (Milton, 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 Jacob Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Davis accept?

Health plans from Ambetter Health, Ambetter of Alabama, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Jacob 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 Jacob Davis was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.