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

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

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