Individual provider Active NPI

Donna Denise Davis, LPC

  • Mental Health Counselor
  • Southfield, MI
National Provider Identifier
1255785416
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401017717 Issued in MI
Practice address
16250 Northland Dr Ste 238
Southfield, MI 48075-5227
Phone
(313) 613-8027
Fax
(313) 659-0477
NPI assigned
Apr 14, 2016
Last updated
Jul 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Mental Health Counselor 101YM0800X 6401017717 MI Primary

Addresses

Primary practice location

16250 Northland Dr Ste 238
Southfield, MI 48075-5227

Mailing address

9597 Artesian St
Detroit, MI 48228-1335
Phone (313) 613-8027

Other practice location 1

9597 Artesian St
Detroit, MI 48228-1335
Phone (313) 138-0276

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

LicenseStateTypeSpecialty
6401017717MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Flexx Counseling, PLLC Mental Health CurrentSince Oct 6, 2019 Accepting new patients

Locations

16250 Northland Dr
Ste 103
Southfield, MI 48075
Phone (248) 599-7522

16250 Northland Dr
Ste 238
Southfield, MI 48075
Phone (248) 905-5175

Organizations & group practices 1

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": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1255785416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9597 ARTESIAN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482281335",
            "telephone_number": "313-613-8027",
            "fax_number": "313-659-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16250 NORTHLAND DR STE 238",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755227",
            "telephone_number": "313-613-8027",
            "fax_number": "313-659-0477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9597 Artesian St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482281335",
            "country_code": "US",
            "telephone_number": "313-138-0276",
            "fax_number": "313-659-0477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DONNA",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401017717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.