Active NPI
Melissa Davis
- Professional Counselor
- Midland, MI
National Provider Identifier
1093890980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-12202
- Practice address
- 111 E Wackerly St Ste a
Midland, MI 48642-7043 - Phone
- (989) 444-3209
- Fax
- (989) 546-8547
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-12202 | AZ | Primary |
Addresses
Primary practice location
111 E Wackerly St Ste a
Midland, MI 48642-7043
Mailing address
111 E Wackerly St Ste a
Midland, MI 48642-7043
Phone (989) 444-3209
Other names 1
- Melissa Davis
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-12202 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1093890980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E WACKERLY ST STE A",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486427043",
"telephone_number": "989-444-3209",
"fax_number": "989-546-8547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E WACKERLY ST STE A",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486427043",
"telephone_number": "989-444-3209",
"fax_number": "989-546-8547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MELISSA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-12202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "DAVIS",
"credential": "MA, NCC, LPC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.