Active NPI
Karshibia Davidson, MS, LPC, NCC
- Mental Health Counselor
- Oxford, MI
National Provider Identifier
1255612883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401011772
- Practice address
- 322 Franklin Lake Cir
Oxford, MI 48371-6704 - Phone
- (888) 788-7145
- Fax
- (888) 788-1564
- NPI assigned
- Sep 9, 2011
- Last updated
- Mar 12, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401011772 | MI | |
| Mental Health Counselor | 101YM0800X | 6401011772 | MI | Primary |
| Professional Counselor | 101YP2500X | 6401011772 | MI |
Addresses
Primary practice location
322 Franklin Lake Cir
Oxford, MI 48371-6704
Mailing address
322 Franklin Lake Cir
Oxford, MI 48371-6704
Phone (888) 788-7145
Other names 1
- Karshibia Lloyd Davidson Tuckey
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.therapyportal.com/p/lloydhuman/ | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
520 Superior St
Port Huron, MI 48060-3838
Phone (810) 984-4202
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401011772 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Counseling Center,P.C. | Current | Accepting new patients | |
| Lloyd Human Services, LLC | Mental Health | Current | Accepting new patients |
Locations
520 Superior St
Port Huron, MI 48060
Phone (810) 455-0102
852 32nd St
Unit 611140
Port Huron, MI 48061
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.
-
- Addiction (Substance Use Disorder) Counselor
- Port Huron, MI
- NPI 1225049760
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Oxford, MI
- NPI 1295125433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741737600000",
"number": "1255612883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 FRANKLIN LAKE CIR",
"city": "OXFORD",
"state": "MI",
"postal_code": "483716704",
"telephone_number": "888-788-7145",
"fax_number": "888-788-1564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 FRANKLIN LAKE CIR",
"city": "OXFORD",
"state": "MI",
"postal_code": "483716704",
"telephone_number": "888-788-7145",
"fax_number": "888-788-1564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "KARSHIBIA",
"credential": "MS, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-09",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401011772",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401011772",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401011772",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.therapyportal.com/p/lloydhuman/",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "322 Franklin Lake Cir",
"city": "Oxford",
"state": "MI",
"country_code": "US",
"postal_code": "483716704",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KARSHIBIA",
"last_name": "LLOYD DAVIDSON TUCKEY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oxford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.