Jessica Marie Davila, MS, LPC
NPI 1780339200ActiveIndividual· Counselor, Professional· Fairfield, CT
Counselor, Professional (MS, LPC) with Lifebridge Community Services, Inc, practicing in Fairfield, Connecticut. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1780339200 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, LPC |
| Sole proprietor | Yes |
| NPI issued | Feb 14, 2022 |
| Last updated in NPPES | Sep 19, 2023 |
| Certified by provider | Sep 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 005443 | CT |
| Counselor, Professional | 101YP2500X | 4145 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (CT) |
|---|
Education and affiliations
| Medicare specialty | Mental Health Counselor |
|---|---|
| Telehealth | Offers telehealth |
Medical group
- Lifebridge Community Services, IncFairfield, CT · 8 clinicians
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