JUSTIN DAVIS LGP
NPI 1417486101
Counselor in Cumberland, MD
NPI Status: Active since June 07, 2017
Contact Information
12502 WILLOWBROOK RD STE 380
CUMBERLAND, MD
ZIP 21502
Phone: (240) 964-8585
Fax: (240) 964-8586
- Individual
- Male
- Counselor
- PECOS Enrolled
About JUSTIN DAVIS
This page provides the complete NPI Profile along with additional information for Justin Davis, a provider established in Cumberland, Maryland with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1417486101 assigned on June 2017. The practitioner's primary taxonomy code is 101Y00000X with license number LGP6648 (MD). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1417486101
- Provider Name
- JUSTIN DAVIS LGP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 12502 WILLOWBROOK RD STE 380 CUMBERLAND, MD 21502
- Location Phone
- (240) 964-8585
- Location Fax
- (240) 964-8586
- Mailing Address
- 12502 WILLOWBROOK RD STE 380 CUMBERLAND, MD 21502
- Mailing Phone
- (240) 964-8585
- Mailing Fax
- (240) 964-8586
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-07-2017
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LGP6648
- License State
- MD
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Medicare Participation & PECOS Enrollment Status
Justin Davis is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for JUSTIN DAVIS LGP
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 1 | 7 | 4 | 8 | 6 | 1 | 0 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 2 | 7 | 8 | 8 | 12 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 2 + 7 + 8 + 8 + 1 + 2 + 1 + 0 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1417486101 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1649827742 | BRIANNE PEREZ LCPC Individual | Counselor (Professional) | 12502 WILLOWBROOK RD STE 380 CUMBERLAND, MD 21502 (240) 964-8577 |
| 1255925798 | TINA HYETT CRNP PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 12502 WILLOWBROOK RD STE 380 CUMBERLAND, MD 21502 (240) 964-8585 |
| 1518451202 | REBECCA HIXENBAUGH LCPC Individual | Counselor (Mental Health) | 12502 WILLOWBROOK RD STE 380 CUMBERLAND, MD 21502 (240) 964-8585 |
| 1922556612 | TIFFANY L BENNETT CRNP Individual | Nurse Practitioner (Family) | 12502 WILLOWBROOK RD STE 380 CUMBERLAND, MD 21502 (240) 964-8585 |
| 1295763795 | STEVEN F KENDELL MD Individual | Psychiatry & Neurology (Psychiatry) | 12502 WILLOWBROOK RD STE 380 CUMBERLAND, MD 21502 (240) 964-8585 |
| 1174032973 | ASHLEY HAROLD LGPC Individual | Counselor (Professional) | 12502 WILLOWBROOK RD STE 380 CUMBERLAND, MD 21502 (240) 964-8585 |
| 1275231219 | ANDREA MCCRAY LCSW Individual | Social Worker | 12502 WILLOWBROOK RD STE 380 CUMBERLAND, MD 21502 (240) 964-1054 |
| 1508564345 | MRS. KATELYN KENNELL-GAITHER LMSW Individual | Social Worker | 12502 WILLOWBROOK RD STE 380 CUMBERLAND, MD 21502 (240) 964-8793 |
| 1952086894 | RYLAN LUTZ LMSW Individual | Social Worker | 12502 WILLOWBROOK RD STE 380 CUMBERLAND, MD 21502 (240) 964-8585 |
| 1730635988 | SAHAR ALEE KOLOUKANI MD Individual | Psychiatry & Neurology (Psychiatry) | 12502 WILLOWBROOK RD STE 380 CUMBERLAND, MD 21502 (240) 964-8585 |
| 1235990128 | UPMC WESTERN MARYLAND HEALTH SERVICES, LLC Organization | Nurse Practitioner (Psychiatric/Mental Health) | 12502 WILLOWBROOK RD STE 380 CUMBERLAND, MD 21502 (240) 964-8585 |
| 1417539115 | CHRISTOPHER WILLIAM IAMES Individual | Psychiatry & Neurology (Psychiatry) | 12502 WILLOWBROOK RD STE 380 CUMBERLAND, MD 21502 (240) 964-8585 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417486101, enumerated in the NPI registry as an "individual" on June 07, 2017
The provider is located at 12502 Willowbrook Rd Ste 380 Cumberland, Md 21502 and the phone number is (240) 964-8585
The provider's speciality is Counselor with taxonomy code 101Y00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on June 07, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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