Individual provider Active NPI

Kevin C Daum, MA, LPC

  • Mental Health Counselor
  • Mt Pleasant, MI
National Provider Identifier
1083231013
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6451019224 Issued in MI
Practice address
201 S University Ave Ste 102
Mount Pleasant, MI 48858-2532
Phone
(989) 546-7701
Fax
(989) 498-6762
NPI assigned
Jun 25, 2020
Last updated
Feb 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X 6451019224 MI Primary

Addresses

Primary practice location

201 S University Ave Ste 102
Mount Pleasant, MI 48858-2532

Mailing address

1414 E Lincoln St
Mount Pleasant, MI 48858-1956
Phone (989) 546-7701

Other practice location 1

1414 E Lincoln St
Mount Pleasant, MI 48858-1956
Phone (989) 546-7701

Other identifiers 1

IdentifierTypeStateIssuer
6451019224OtherMISTATE OF MICHIGAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6451019224MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Saginaw Chippewa Indian Tribe Mental Health CurrentSince Dec 23, 2025 Accepting new patients
Campfire Therapy, PLLC Addiction (Substance Use Disorder) CurrentSince Dec 1, 2023 Accepting new patients
Michigan Therapeutic Consultants PC PastSince Jun 1, 2020 Accepting new patients
BHG Lxxxiii, LLC PastSince Jan 1, 2023 Accepting new patients

Locations

201 S University Ave
Ste 102
Mount Pleasant, MI 48858
Phone (989) 546-7701

2800 S Shepherd Rd
Mt Pleasant, MI 48858
Phone (989) 775-4850

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1083231013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 E LINCOLN ST",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488581956",
            "telephone_number": "989-546-7701",
            "fax_number": "989-498-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S UNIVERSITY AVE STE 102",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582532",
            "telephone_number": "989-546-7701",
            "fax_number": "989-498-6762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1414 E Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "MI",
            "postal_code": "488581956",
            "country_code": "US",
            "telephone_number": "989-546-7701",
            "fax_number": "989-498-6762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAUM",
        "first_name": "KEVIN",
        "middle_name": "C",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-25",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451019224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN",
            "identifier": "6451019224",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.