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

Jakia Mashay Davis, LPC-IT

Individual provider Professional Counselor · NPI 1568234631

Jakia Mashay Davis, LPC-IT is a Mental Health Counselor in Racine, Wisconsin. Qualified in 2022, 4 years ago. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2023

Practice location Address checks out

1717 Taylor Ave
Racine, WI 53403-2405
Phone: (262) 638-6635
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 7268 (WI)

Record details

NPI number1568234631
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-IT
Sole proprietorNo
NPI enumeratedOctober 23, 2023
Last updated in NPPESOctober 23, 2023
Certification dateOctober 23, 2023
Mailing address1717 Taylor Ave, Racine, WI 53403-2405

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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