JESSIE DAVIS, LLC
NPI 1821741968
Clinic/Center - Adolescent and Children Mental Health in Frederick, MD
About Jessie Davis, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSIE DAVIS, LLC (NPI 1821741968) is a healthcare organization registered as an adolescent and children mental health in Frederick, Maryland and active in the NPI registry since January 2022. The organization lists Jessie Davis, Therapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jessie Davis, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jessie Davis, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jessie Davis, LLC's NPI number?
The NPI number for Jessie Davis, LLC is 1821741968. It was assigned to this organization in the NPPES registry on January 29, 2022.
Where is Jessie Davis, LLC located?
Jessie Davis, LLC is located at 103 E 2nd St Apt 3, Frederick, MD 21701. The listed phone number is (301) 606-2858.
What is Jessie Davis, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.
Is Jessie Davis, LLC enrolled in Medicare?
Yes. Jessie Davis, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jessie Davis, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Jessie Davis, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jessie Davis, LLC was last updated on January 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jessie Davis, Llc · NPI 1821741968
Adolescent and Children Mental Health organization in Frederick, Maryland. Organization record, active in the CMS NPPES registry since January 29, 2022.
## Identity
- **NPI:** 1821741968 (Entity type: Organization)
- **Enumerated:** January 29, 2022
- **Primary specialty:** Clinic/Center - Adolescent and Children Mental Health · taxonomy 261QM0855X
- **Organization subpart:** No
- **Authorized official:** Jessie Davis, THERAPIST
## Practice location
- **Address:** 103 E 2ND ST APT 3, Frederick, MD 21701-7200
- **Phone:** (301) 606-2858
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 29, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1821741968) · Data from the CMS NPPES public registry.