Cheryl Davidson LCPC PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

CHERYL DAVIDSON LCPC PLLC

Practice address

311 N 2ND St
St Charles, IL 60174-1850

Phone

(847) 450-8139

Fax

(630) 358-6935

NPI assigned

Jul 30, 2024

Organization subpart

No

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

Authorized official

Name

Cheryl Davidson, LCPCNPI 1891361960

Title

Owner / Therapist Operator

Phone

(847) 450-8139

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cheryl A Davidson, MA, LCPC

  • Professional Counselor
  • St Charles, IL
  • NPI 1891361960
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1023847985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N 2ND ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741850",
            "telephone_number": "847-450-8139",
            "fax_number": "630-358-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N 2ND ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741850",
            "telephone_number": "847-450-8139",
            "fax_number": "630-358-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERYL DAVIDSON LCPC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OWNER / THERAPIST OPERATOR",
        "authorized_official_telephone_number": "847-450-8139",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine L Chatman
• Huma Chaudhry, RD
• Jon Chavez, D.C.
• Mayra Chavez, OT
• Sreekant Cherukuri, M.D.
• Samantha Andrea Cheung, MT-BC
• Lalithasree Chintam, MD
• Chiro One Wellness Center of St. Charles LLC
• Chiropractic and Physical Rehabilitation Centers of Illinois
• Kaitlyn Chlapecka

• Adult Mental Health Clinic/Center in St Charles, IL
• Providers in St Charles, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.