Khadisha Saunders-Davenport, MA, LLPC, CAADC, CAS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401009009 Issued in MI

Practice address

26522 Van Dyke Ave
Center Line, MI 48015-1221

Phone

(586) 759-4400

NPI assigned

Mar 26, 2008

Sex

Female

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Master of Arts

State licenses

Practice roles

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.

• Synergy Home Services Corporation

  • Home Health Agency
  • Southfield, MI
  • NPI 1316300205
  NPD (past) Authorized official

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1447422860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29193 NORTHWESTERN HIGHWAY",
            "address_2": "UNIT 781",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48034",
            "telephone_number": "313-784-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26522 VAN DYKE AVE",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151221",
            "telephone_number": "586-759-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS-DAVENPORT",
        "first_name": "KHADISHA",
        "name_prefix": "Mrs.",
        "credential": "MA, LLPC, CAADC, CAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-26",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401009009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rsa Foundation
• Lauren Rush, D.D.S
• Ryan Foot Clinic, PC
• Houston Sanderfield
• Sanity Home Health Care Inc
• Melissa Diane Scheck, MPT
• Cindy Lou Schell, BS
• Jacob Schmidt
• Angelica Schneider, LMSW
• Jack Schwarcz, D.D.S., M.S.

• Mental Health Counselor in Center Line, MI
• Providers in Center Line, 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 Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.