HEIDI PETRA DAVISSON MA
NPI 1891192316
Counselor - Mental Health in Portland, OR
About Heidi Petra Davisson Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEIDI PETRA DAVISSON MA (NPI 1891192316) is an individual mental health provider in Portland, Oregon and active in the NPI registry since November 2014. She has opted out of Medicare through March 10, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Heidi Petra Davisson Ma 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 March 10, 2026 through March 10, 2028.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Heidi Davisson's NPI number?
The NPI number for Heidi Davisson is 1891192316. It was assigned to this individual provider in the NPPES registry on November 26, 2014.
Where is Heidi Davisson located?
Heidi Davisson practices at 3939 NE Hancock St Ste 117, Portland, OR 97212. The listed phone number is (503) 929-7750.
What is Heidi Davisson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Heidi Davisson enrolled in Medicare?
No. Heidi Davisson has opted out of Medicare through March 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Heidi Davisson accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Heidi Davisson 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 Heidi Davisson was last updated on November 29, 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.
# Heidi Petra Davisson, MA · NPI 1891192316
Mental Health provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since November 26, 2014.
## Identity
- **NPI:** 1891192316 (Entity type: Individual)
- **Enumerated:** November 26, 2014
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 3939 NE HANCOCK ST STE 117, Portland, OR 97212-5321
- **Phone:** (503) 929-7750
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through March 10, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** November 29, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1891192316) · Data from the CMS NPPES public registry.