MS. JENNIFER L DAVENPORT (LMHCA, SUDP) – Mental Health Counselor, NPI 1922230242

MS. JENNIFER L DAVENPORT (LMHCA, SUDP) is a healthcare provider. based in Shelton, Washington. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LMHCA, SUDP. They hold a License No. 00005501 (WA). The NPI Number for MS. JENNIFER L DAVENPORT (LMHCA, SUDP) is 1922230242

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MS. JENNIFER L DAVENPORT (LMHCA, SUDP)
NPI
1922230242
Phone
(360) 580-2612
Address
2120 ADAMS ST
Enumeration Date
20 August 2009
Last Update Date
30 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3607059835
Graduation Year
2020 (6 years ago)
PAC ID
7719416445
Group Practice PAC ID
1052846854
Professional Enrollment ID
I20250125000143
Address ID
WA985066104OL3627XNEXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:16State licenses:2Digital endpointsOther names

1,452 MENTAL HEALTH COUNSELOR in WA

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Provider Addresses for MS. JENNIFER L DAVENPORT (LMHCA, SUDP)

  • 2120, Adams Street, Shelton, Mason County, Washington, 98584, United States

    SHELTON, WA 985842902

    Phone: (360) 580-2612

    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: 2025-01-25

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
I20250125000143IMental Health CounselorWATBD

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 98584)

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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: 1052846854View full group profile
NameSpecialtyState
Marriage And Family TherapistWA
Mental Health CounselorWA

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Frequently asked questions

What federal number belongs to MS. JENNIFER L DAVENPORT (LMHCA, SUDP)?
The federal identifier for MS. JENNIFER L DAVENPORT (LMHCA, SUDP) is NPI 1922230242.
Is MS. JENNIFER L DAVENPORT (LMHCA, SUDP) active in the national directory?
MS. JENNIFER L DAVENPORT (LMHCA, SUDP)'s public NPI profile is in an active state.
What kind of provider is MS. JENNIFER L DAVENPORT (LMHCA, SUDP)?
The page reflects Mental Health Counselor for MS. JENNIFER L DAVENPORT (LMHCA, SUDP). Clinical services aligned with this taxonomy classification.
What location metadata exists for MS. JENNIFER L DAVENPORT (LMHCA, SUDP)?
The page summarizes Shelton, Washington for MS. JENNIFER L DAVENPORT (LMHCA, SUDP); expand the address list for detail.
How can I contact MS. JENNIFER L DAVENPORT (LMHCA, SUDP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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