Krystal R Davis-Dunn

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851110542 Issued in MI

Practice address

601 Abbot Rd Ste 103E
East Lansing, MI 48823-3366

Phone

(517) 574-4797

Fax

(517) 484-1771

NPI assigned

Oct 27, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Assessment and Relationship Counseling Center LLC Arc2

  • Clinical Psychologist
  • Lansing, MI
  • NPI 1609500503
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1003570813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WOLF CT",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231869",
            "telephone_number": "734-985-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ABBOT RD STE 103E",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488233366",
            "telephone_number": "517-574-4797",
            "fax_number": "517-484-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-DUNN",
        "first_name": "KRYSTAL",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851110542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Ryan Darabos, MD
• Meg Ann Darmofal, DPT
• Mackenzie Darr, NP
• Bonnie Joanne David-Such, LMSW
• Josie Lynne David, ATC
• Elizabeth Mary Davis-Pennington, LMSW-CLINICAL
• Bridgette Davis
• Damon Davis, MD
• Eboni R Davis
• John David Davis, DO

• Clinical Social Worker in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.