Active NPI
Michelle Davis, MA, LPC
- Professional Counselor
- Philadelphia, PA
National Provider Identifier
1346781333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC16515
- Practice address
- 1515 Market St Ste 1200
Philadelphia, PA 19102-1932 - Phone
- (484) 841-9558
- NPI assigned
- Mar 10, 2017
- Last updated
- Jul 2, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | PC0011796 | DE | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | ||
| Mental Health Counselor | 101YM0800X | PC013697 | PA | |
| Professional Counselor | 101YP2500X | LC16515 | MD | Primary |
Addresses
Primary practice location
1515 Market St Ste 1200
Philadelphia, PA 19102-1932
Mailing address
150 N Radnor Chester Rd Ste 200
Wayne, PA 19087-5252
Phone (484) 841-9558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC0011796 | DE | MD | Counselor |
| PC013697 | PA | MD | Mental Health Counselor |
| LC16515 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Where Faith Meets Mental Health LLC | Current | Accepting new patients | |
| Rest Recovery House Inc | Mental Health | Current | Accepting new patients |
| Marvin Behavioral Health Ma PC | Mental Health | Past | Accepting new patients |
Locations
1515 Market St
Ste 1200
Philadelphia, PA 19102
Phone (215) 259-8078
6560 Market St
Ste 2
Upper Darby, PA 19082
Phone (445) 888-0093
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Upper Darby, PA
- NPI 1902689276
-
- Adult Mental Health Clinic/Center
- Philadelphia, PA
- NPI 1366194409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751414400000",
"number": "1346781333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 N RADNOR CHESTER RD STE 200",
"city": "WAYNE",
"state": "PA",
"postal_code": "190875252",
"telephone_number": "484-841-9558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 MARKET ST STE 1200",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191021932",
"telephone_number": "484-841-9558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MICHELLE",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-10",
"last_updated": "2025-07-02",
"certification_date": "2025-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "DE",
"license": "PC0011796",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC013697",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC16515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.