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

MS. Jennifer L Davenport, LMHCA, SUDP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1922230242

MS. Jennifer L Davenport, LMHCA, SUDP is a Mental Health Counselor in Shelton, Washington. Qualified in 2020, 6 years ago. Practices with Living Sound Therapeutic Services, PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
6
Licensed in
WA
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

2120 Adams St
Shelton, WA 98584-2902
Phone: (360) 580-2612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MC61045886 (WA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 00005501 (WA)

Record details

NPI number1922230242
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHCA , SUDP
Sole proprietorYes
NPI enumeratedAugust 20, 2009
Last updated in NPPESSeptember 30, 2020
Certification dateSeptember 30, 2020

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Living Sound Therapeutic Services, Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shelton