JESSICA KAIULANI ROSSI DAVIS – Professional Counselor, NPI 1104394568

JESSICA KAIULANI ROSSI DAVIS is a healthcare provider. based in Denver, Colorado. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. LPC.0016621 (CO). The NPI Number for JESSICA KAIULANI ROSSI DAVIS is 1104394568

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA KAIULANI ROSSI DAVIS
NPI
1104394568
Phone
(808) 377-0265
Address
2100 DELGANY ST APT 615
Enumeration Date
5 November 2018
Last Update Date
28 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3034250300
Graduation Year
2018 (8 years ago)
PAC ID
1254873441
Group Practice PAC ID
9032018882
Professional Enrollment ID
I20240603003324
Address ID
CO802281506LA12055PLXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,207 MENTAL HEALTH COUNSELOR in CO

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Provider Addresses for JESSICA KAIULANI ROSSI DAVIS

  • 2100 DELGANY ST APT 615

    DENVER, CO 802027195

    Phone: (808) 377-0265

    Type: Mailing

  • 220, Leetsdale Drive, Denver, Denver County, Colorado, 80246, United States

    DENVER, CO 802461438

    Phone: (303) 629-5293

    Type: Location

  • 12055 W 2ND PL

    LAKEWOOD, CO 802281506

    Phone: (303) 432-5738

    Type: Mailing

  • 7828 VANCE DR

    ARVADA, CO 800032124

    Phone: (303) 432-5738

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240603003324IMental Health CounselorCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032018882View full group profile
NameSpecialtyState
Clinical Social WorkerCO
P S Y C H I A T R YCO
P S Y C H I A T R YCO
Clinical Social WorkerCO
-CO
Mental Health CounselorCO
-CO
-CO
Clinical Social WorkerCO
-CO

Reviews

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Frequently asked questions

Can I cross-check JESSICA KAIULANI ROSSI DAVIS using NPI 1104394568?
NPI 1104394568 belongs to JESSICA KAIULANI ROSSI DAVIS; compare other details if you need extra assurance.
Would JESSICA KAIULANI ROSSI DAVIS appear as active to a payer?
You can treat JESSICA KAIULANI ROSSI DAVIS as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to JESSICA KAIULANI ROSSI DAVIS?
JESSICA KAIULANI ROSSI DAVIS's specialty line reads Professional Counselor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JESSICA KAIULANI ROSSI DAVIS?
Travel planning: use Denver, Colorado as the reference point for JESSICA KAIULANI ROSSI DAVIS, then confirm.
When was this NPI issued?
Enumeration for JESSICA KAIULANI ROSSI DAVIS is noted as November 5, 2018 where the registry provides it.

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