JEFFERY DAVIS MLADC
NPI 1962579201
Counselor - Addiction (Substance Use Disorder) in Manchester, NH

Q: What is Jeffery Davis's NPI number?

The NPI number for Jeffery Davis is 1962579201. It was assigned to this individual provider in the NPPES registry on November 30, 2006. The provider is also known as Jeffery Davis Ladc.

Q: What is Jeffery Davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Jeffery Davis was last updated on March 22, 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 November 30, 2006PECOS EnrolledAccepts Medicare Assignment

1555 ELM ST, MANCHESTER, NH 03101(603) 668-4111(603) 628-7757 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 22, 2021, Oct 8, 2018 (2 updates tracked since 2018).

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About Jeffery Davis Mladc NPPES

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

JEFFERY DAVIS MLADC (NPI 1962579201) is an individual addiction (substance use disorder) provider in Manchester, New Hampshire, licensed in New Hampshire (0578) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1962579201

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameJEFFERY DAVISCredential: MLADC

Location Address1555 ELM STManchester, NH 03101-1203

Mailing Address2 Wall St Ste 300Manchester, NH 03101-1518 · (603) 668-4111 · Fax (603) 628-7757

Phone(603) 668-4111

Fax(603) 628-7757

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateNovember 30, 2006

Last NPPES UpdateMarch 22, 20212 updates tracked since enumeration

NPPES CertifiedMarch 22, 2021

✔ NPI 1962579201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

Licenses✔ Licensed in NH · 0578✔ Licensed in NH · 0939

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

1555 ELM ST, Manchester, NH 03101

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Other Names 1

Professional Name (2)Jeffery Davis Ladc

Other Identifiers 2

Other2163087NH · Cigna

Other7706660Y0NH01NH · Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield.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

Jeffery Davis Mladc 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 ID6709387475

PECOS Enrollment IDI20250903001397

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.

MR. SAMUEL SOBEL LICSW

Social Worker (Clinical)