AUDRA COLLEEN DAVIS – Mental Health Counselor, NPI 1578801726
Mental Health Counselor
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for AUDRA COLLEEN DAVIS
2995 DREW ST FL 2
CLEARWATER, FL 337593012
Phone: (727) 532-0002
Type: Mailing
12512 BRUCE B DOWNS BLVD
TAMPA, FL 336129209
Phone: (813) 977-8700
Fax: (813) 971-2029
Type: Location
27911 Waterford Executive Centre
Bonita Springs, FL 34135
Phone: (800) 681-1403
Fax: (800) 681-1403
Type: Location
2108 W FORE DR
TAMPA, FL 336125005
Phone:
Type: Mailing
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: 2024-01-10
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240110005256 | I | Mental Health Counselor | FL | TBD |
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.
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 33759)
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