Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Davis

Individual provider Counselor · NPI 1720782477

Jacqueline Davis is a Mental Health Counselor in Anaheim, California. Qualified in 2017, 9 years ago. Practices with County of Orange, a 44-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2023
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Practice location Address checks out

222 S Harbor Blvd Ste 400
Anaheim, CA 92805-3743
Phone: (714) 517-6300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence LPCC18167 (CA)

Record details

NPI number1720782477
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 28, 2023
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026
Mailing address2035 E Ball Rd Ste 200, Anaheim, CA 92806-5157

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice County Of Orange — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Anaheim