Stacey A Davis, LPC
Individual provider Active NPI Mental Health Counselor · Plainwell, MI
NPI 1003241589 · NPPES record last updated Sep 4, 2013
Key facts
- NPI
- 1003241589
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 6401009811 (MI)
- Practice address
- 615 S Main St
Plainwell, MI 49080-1644 - Phone
- (269) 216-1787
- NPI assigned
- Sep 4, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240207001422 | MI | Practitioner - Mental Health Counselor | 2668815606 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401009811 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joy Unlimited Counseling Center, PLC | Current |
Accepting new patients |
Locations
6100 Newport Rd
Ste 222
Portage, MI 49002
Phone (269) 324-1248
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401009811 | MI | Yes |
Addresses
Primary practice location
615 S Main St
Plainwell, MI 49080-1644
Mailing address
615 S Main St
Plainwell, MI 49080-1644
Phone (269) 216-1788
Other providers in Plainwell, MI
- Evelyn Faye Conley
- Hannah Cook
- Heather Cooper
- Andrea Leigh Creech
- Sarah Ruth Damick
- Amie Deak
- Dawn Decator
- Elizabeth Delnay
- Destiny Institute
- Davinder Dhillon
All providers in Plainwell, MI · Mental Health Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.