SHEMAIAH DAVIS LPC
NPI 1619448263
Counselor - Mental Health in Jay, OK

NPI Status: Active since December 07, 2018

Contact Information

1015 W WASHBOURNE ST
JAY, OK
ZIP 74346
Phone: (918) 308-5513
Fax: (918) 253-6645

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  • Individual
  • Male
  • Years of Experience 8
  • Counselor
  • Mental Health
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SHEMAIAH DAVIS

This page provides the complete NPI Profile along with additional information for Shemaiah Davis, a provider established in Jay, Oklahoma with a medical specialization in Counselor, focusing in mental health and more than 8 years of experience. The healthcare provider is registered in the NPI registry with number 1619448263 assigned on December 2018. The practitioner's primary taxonomy code is 101YM0800X with license number 12185 (OK). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1619448263
Provider Name
SHEMAIAH DAVIS LPC
Gender
Male
Entity Type
Individual
Location Address
1015 W WASHBOURNE ST JAY, OK 74346
Location Phone
(918) 308-5513
Location Fax
(918) 253-6645
Mailing Address
1015 W WASHBOURNE ST JAY, OK 74346
Mailing Phone
(918) 308-5513
Mailing Fax
(918) 253-6645
Medical School Name
OTHER
Graduation Year
2018
Is Sole Proprietor?
No
Enumeration Date
12-07-2018
Last Update Date
06-20-2024
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A mental health counselor like Shemaiah Davis provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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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 Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
12185
License State
OK

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 

Medicare Participation & PECOS Enrollment Status

Shemaiah Davis is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Shemaiah 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

  • PECOS PAC ID: 4385185776

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240925003565

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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 SHEMAIAH DAVIS LPC

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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.
1619448263
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26298416212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 8 + 4 + 1 + 6 + 2 + 1 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1619448263 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245223858DR. GEORGE THOMAS CONRAD M.D.
Individual
Family Medicine1015 W WASHBOURNE ST
JAY, OK 74346
(918) 253-4271
1427025501DR. CHARLES ALAN MCQUIGG D.D.S.
Individual
Dentist (General Practice)1015 W WASHBOURNE ST
JAY, OK 74346
(918) 253-8696
1710158191MRS. LINDA JEWEL BINGHAM LCSW
Individual
Social Worker (Clinical)1015 W WASHBOURNE ST
JAY, OK 74346
(918) 253-4271
1669604492MRS. NICOLE RACHELLE GIBE PHARM D
Individual
Pharmacist1015 W WASHBOURNE ST
JAY, OK 74346
(918) 253-4271
1336419845DR. KALEB DEWAYNE CHAMBERLAIN PHARM.D.
Individual
Pharmacist1015 W WASHBOURNE ST
JAY, OK 74346
(918) 253-4271
1730529371MR. JONATHAN ANDREW WHITE P.A.-C
Individual
Physician Assistant1015 W WASHBOURNE ST
JAY, OK 74346
(918) 253-1700
1922299072MRS. TERRINA ROMELLE BRASHEAR FNP
Individual
Nurse Practitioner (Family)1015 W WASHBOURNE ST
JAY, OK 74346
(918) 253-4271
1649566720DR. DEIRDRE ANN MCAULEY MD, MPH
Individual
Family Medicine1015 W WASHBOURNE ST
JAY, OK 74346
(918) 253-1700
1114916244DR. STEFAN SHANE HACKER DDS
Individual
Dentist1015 W WASHBOURNE ST
JAY, OK 74346
(918) 253-8696
1689206922GRAND LAKE MENTAL HEALTH CENTER INC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))1015 W WASHBOURNE ST
JAY, OK 74346
(918) 381-9090
1164057584 STACEY LANE
Individual
Case Manager/Care Coordinator1015 W WASHBOURNE ST
JAY, OK 74346
(918) 308-5513
1386263218 JACQUELINE M PAYERLI PLMSW
Individual
Social Worker1015 W WASHBOURNE ST
JAY, OK 74346
(918) 576-3807
1295368660 MICHELLE KAY TURNER
Individual
Case Manager/Care Coordinator1015 W WASHBOURNE ST
JAY, OK 74346
(918) 382-5050
1457988008 PATRICIA A WIESE
Individual
Case Manager/Care Coordinator1015 W WASHBOURNE ST
JAY, OK 74346
(918) 308-5513
1316562762 SAVANNAH DAWN BELDEN
Individual
Peer Specialist1015 W WASHBOURNE ST
JAY, OK 74346
(918) 308-5513
1720686272 CHANCIE MARIE COOPER
Individual
Case Manager/Care Coordinator1015 W WASHBOURNE ST
JAY, OK 74346
(918) 308-5512
1518553460 KIMBERLY ANGEL BLANTON RN
Individual
Registered Nurse1015 W WASHBOURNE ST
JAY, OK 74346
(918) 308-5513
1578150132 DAVID JOSIAH DAVIS
Individual
Peer Specialist1015 W WASHBOURNE ST
JAY, OK 74346
(918) 308-5513
1477157808 RONNA M CROSBY
Individual
Peer Specialist1015 W WASHBOURNE ST
JAY, OK 74346
(918) 308-5513
1134711765 KIMBERLY DAWN GREEN
Individual
Peer Specialist1015 W WASHBOURNE ST
JAY, OK 74346
(918) 273-1841

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619448263, enumerated in the NPI registry as an "individual" on December 07, 2018

The provider is located at 1015 W Washbourne St Jay, Ok 74346 and the phone number is (918) 308-5513

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

The provider has more than 8 years of experience.

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 December 07, 2018. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.