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

Q: 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.

Q: What is Jacob Davis's specialty?

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

Q: 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 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.

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: August 09, 2026.

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

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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

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Other Identifiers 1

Medicaid119123400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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)