Candace Ann Davis, MD, LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401018432 Issued in MI

Practice address

1090 N 10TH St Ste 110
Kalamazoo, MI 49009-5733

Phone

(269) 375-4363

NPI assigned

Aug 25, 2020

Sex

Female

Sole proprietor

No

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

Doctor of Medicine

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 and National Provider Directory roles.

• Metanoia Therapy and Consulting

  • Professional Counselor
  • Kalamazoo, MI
  • NPI 1427856533
  NPD Authorized official
• Cornerstone Christian Counseling PC

  • Professional Counselor
  • Kalamazoo, MI
  • NPI 1508090911
  NPD
• Joy Unlimited Counseling Center, PLC

  • Clinical Social Worker
  • Portage, MI
  • NPI 1164925269
  NPD (past)

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1285247882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 N 10TH ST STE 110",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490095733",
            "telephone_number": "269-375-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 N 10TH ST STE 110",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490095733",
            "telephone_number": "269-375-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CANDACE",
        "middle_name": "ANN",
        "credential": "MD, LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401018432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Favour David
• Jenna David, DO
• Hannah Davidson, OTR/L
• Melissa Ann Davidson, M.D.
• Abigail Davis
• Carly H Davis, M.D.
• Cynthia Davis, BS
• Daniel Allen Davis, MA
• Diane Elizabeth Davis, LBSW
• Hope I Davis

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.