Michael James Davis, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2012040750 Issued in MO

Practice address

1200 NW South Outer Rd Ste 306
Blue Springs, MO 64015-3059

Phone

(816) 379-3007

Fax

(816) 379-3745

NPI assigned

Feb 19, 2013

Sex

Male

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

Enrolled in MO

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

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Northland Complete Counseling LLC

  • Professional Counselor
  • Blue Springs, MO
  • NPI 1821648205
  Medicare reassignment NPD
• Davis Wellness LLC

  • Mental Health Counselor
  • Liberty, MO
  • NPI 1588210272
  NPD Authorized official

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764288000000",
    "number": "1306186978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CONCORD CIR",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640299719",
            "telephone_number": "816-824-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NW SOUTH OUTER RD STE 306",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153059",
            "telephone_number": "816-379-3007",
            "fax_number": "816-379-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-19",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2012040750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Dake, DPT
• Laura Grace Daugherty, PTA
• Jeremy Michael Daves, CRNA
• Amelia Marie Davis, RN
• Kelley Davis, MS, CCC-SLP
• Michelle Davis
• Cynthia Marquelle Dean, D.O.
• Janelle Deblock, LPC; MA
• Renu Debroy, M.D.
• Kelly R Deems, DC

• Professional Counselor in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.

Verify at the official NPI Registry.