Grover Wayne Davis, BA,CSAC,CAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5816 W US Highway 10
Ludington, MI 49431-2494

Phone

(231) 843-4899

Fax

(231) 843-8929

NPI assigned

Jan 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1376692269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 3RD ST",
            "address_2": "SUITE 125",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494411976",
            "telephone_number": "231-726-4735",
            "fax_number": "231-722-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5816 W US HIGHWAY 10",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312494",
            "telephone_number": "231-843-4899",
            "fax_number": "231-843-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GROVER",
        "middle_name": "WAYNE",
        "credential": "BA,CSAC,CAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1712452",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Macnair Crompton, MD
• Haleigh L Curtis, LMSW
• Catherine Marie Czesnowski, M.D.
• Jennifer Rebecca Dalton, FNP
• Dannie J Gentry MD PC
• Ladinia Davis, CPHT
• Teddy Dawson, LPC
• Katie Debellis, PHARMD
• Samantha Decker, PA-C
• Heather Lynn Dennis, LBSW

• Mental Health Counselor in Ludington, MI
• Providers in Ludington, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.