Individual provider Active NPI

Angela Denise Weberg-Davis, LPC

  • Mental Health Counselor
  • Muskegon, MI
National Provider Identifier
1174217814
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6451022960 Issued in MI
Practice address
1611 Oak Ave
Muskegon, MI 49442-2468
Phone
(231) 767-1921
Fax
(231) 767-0527
NPI assigned
Jun 6, 2023
Last updated
Jan 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6451022960 MI Primary

Addresses

Primary practice location

1611 Oak Ave
Muskegon, MI 49442-2468

Mailing address

1284 Ransom St
Muskegon, MI 49442-3328
Phone (231) 672-0688

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
I20260302000585 MI Practitioner - Mental Health Counselor 2062994932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Cherry St SE
Grand Rapids, MI 49503-4526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6451022960MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Street Services, Inc. Mental Health CurrentSince Jan 28, 2026 Accepting new patients
Cherry Street Services, Inc Mental Health CurrentSince Jan 28, 2026 Accepting new patients

Locations

550 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 235-7272

1611 Oak Ave
Muskegon, MI 49442
Phone (231) 724-6050

Interoperability endpoints

  • Direct secure messaging: angela.webergdavis.p1@direct.cherryhealth.nextgenshare.com

Organizations & group practices 2

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": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1174217814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1284 RANSOM ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494423328",
            "telephone_number": "231-672-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 OAK AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494422468",
            "telephone_number": "231-767-1921",
            "fax_number": "231-767-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBERG-DAVIS",
        "first_name": "ANGELA",
        "middle_name": "DENISE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451022960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.