SHEMAIAH DAVIS (LPC) – Mental Health Counselor, NPI 1619448263

SHEMAIAH DAVIS (LPC) is a healthcare provider. based in Jay, Oklahoma. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 12185 (OK). The NPI Number for SHEMAIAH DAVIS (LPC) is 1619448263

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
SHEMAIAH DAVIS (LPC)
NPI
1619448263
Phone
(918) 308-5513
Address
1015 W WASHBOURNE ST
Enumeration Date
7 December 2018
Last Update Date
20 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9183819090
Graduation Year
2018 (8 years ago)
PAC ID
4385185776
Group Practice PAC ID
4688711534
Professional Enrollment ID
I20240925003565
Address ID
OK743464205JA1015XSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,199 MENTAL HEALTH COUNSELOR in OK

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Provider Addresses for SHEMAIAH DAVIS (LPC)

  • 1015, West Washbourne Street, Jay, Delaware County, Oklahoma, 74346, United States

    JAY, OK 743464205

    Phone: (918) 308-5513

    Fax: (918) 253-6645

    Mailing address matches the actual address.

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: 2024-09-25

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
I20240925003565IMental Health CounselorOKTBD

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 74346)

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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: 4688711534View full group profile
NameSpecialtyState
P S Y C H I A T R YOK
Mental Health CounselorOK
-OK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
-OK
Mental Health CounselorOK
Mental Health CounselorKS
Marriage And Family TherapistOK

Reviews

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Frequently asked questions

What NPI should I save for SHEMAIAH DAVIS (LPC)?
Save NPI 1619448263 if you need a stable reference for SHEMAIAH DAVIS (LPC).
Does this profile mean SHEMAIAH DAVIS (LPC) is currently active?
Yes — SHEMAIAH DAVIS (LPC) appears active in the national provider directory.
What field does SHEMAIAH DAVIS (LPC) work in?
You can think of SHEMAIAH DAVIS (LPC) as practicing within Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Does SHEMAIAH DAVIS (LPC) practice in Oklahoma?
You will see Jay, Oklahoma on file for SHEMAIAH DAVIS (LPC) alongside any extra practice locations.
What if Jay, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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