Emmitt Melvin Davis Jr., MA, LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401016447 Issued in MI

Practice address

316 Morris Ave Ste 200
Muskegon, MI 49440-1154

Phone

(616) 805-3660

Fax

(616) 805-3631

NPI assigned

Oct 20, 2020

Last updated

Oct 20, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Stratagem Counseling Center

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1104423847
  NPD Authorized official

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1285233437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 VALLEY ST",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494441261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 MORRIS AVE STE 200",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494401154",
            "telephone_number": "616-805-3660",
            "fax_number": "616-805-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "EMMITT",
        "middle_name": "MELVIN",
        "name_suffix": "Jr.",
        "credential": "MA, LLPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401016447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David B Jackson DDS Ms PLC
• Amber Renee Davidson
• Briana Davis, LMSW
• Brooke C Davis, L.M.S.W.
• Constance Davis
• Ericka Nicole Davis
• Holly A Davis, PH.D.
• Kimberley Davis
• Margaret Anne Davis, LLMSW
• Tametria Davis, HHA

• Professional Counselor in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Professional Counselor in Michigan

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