Individual provider Active NPI

Sydney Rae Davis, LPC

  • Mental Health Counselor
  • Mt Pleasant, MI
National Provider Identifier
1114547148
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401222544 Issued in MI
Practice address
4676 E Broomfield Rd Ste C
Mt Pleasant, MI 48858-9192
Phone
(989) 441-2214
NPI assigned
Apr 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401222544 MI
Mental Health Counselor 101YM0800X 6401222544 MI Primary

Addresses

Primary practice location

4676 E Broomfield Rd Ste C
Mt Pleasant, MI 48858-9192

Mailing address

772 E Pickard Rd
Mount Pleasant, MI 48858-8242

Other practice location 1

377 2nd St
Pentwater, MI 49449-9401
Phone (231) 742-6078

Other practice location 2

307 E Michigan St
Mount Pleasant, MI 48858-2641
Phone (989) 772-5833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240612002270 MI Practitioner - Mental Health Counselor 1052853553 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401222544MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling and Coaching PLLC Counselor CurrentSince Jun 3, 2024 Accepting new patients
Counseling Connections of Central Michigan CurrentSince May 22, 2022 Accepting new patients
Darcy Beavan Counseling PLLC Counselor PastSince Dec 21, 2025 Accepting new patients

Locations

307 E Michigan St
Mt Pleasant, MI 48858
Phone (989) 772-5833

4676 E Broomfield Rd
Ste C
Mt Pleasant, MI 48858
Phone (989) 441-2214

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1114547148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "772 E PICKARD RD",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488588242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4676 E BROOMFIELD RD STE C",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488589192",
            "telephone_number": "989-441-2214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "377 2nd St",
            "address_purpose": "LOCATION",
            "city": "Pentwater",
            "state": "MI",
            "postal_code": "494499401",
            "country_code": "US",
            "telephone_number": "231-742-6078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "307 E Michigan St",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "MI",
            "postal_code": "488582641",
            "country_code": "US",
            "telephone_number": "989-772-5833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SYDNEY",
        "middle_name": "RAE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401222544",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401222544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

Verify at the official NPI Registry.