Organization Active NPI

Aquila Counseling Center PLLC

  • Counselor
  • Davison, MI
National Provider Identifier
1467085928
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
AQUILA COUNSELING CENTER PLLC
Practice address
401 W Flint St
Davison, MI 48423-1003
Phone
(810) 331-0995
NPI assigned
Feb 12, 2020
Last updated
Apr 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Kadi Morse, LPCNPI 1255649067
Title
Licensed Professional Counselor
Phone
(810) 331-0995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

401 W Flint St
Davison, MI 48423-1003

Mailing address

401 W Flint St
Davison, MI 48423-1003
Phone (810) 331-0995

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL 8103310995
Other URL 810-331-0995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250515000645 MI Part B Supplier - Clinic/Group Practice 0446778393 Receives reassigned benefits from 1 practitioner
Practice locations: Davison, MI

National Provider Directory

National Provider Directory

Locations

401 W Flint St
Davison, MI 48423
Phone (810) 221-1822

405 W Flint St
Davison, MI 48423

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1467085928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W FLINT ST",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231003",
            "telephone_number": "810-331-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W FLINT ST",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231003",
            "telephone_number": "810-331-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUILA COUNSELING CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "MORSE",
        "authorized_official_first_name": "KADI",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "810-331-0995",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "8103310995",
            "affiliation": "N",
            "address_1": "405 W Flint St",
            "city": "Davison",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484231003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "810-331-0995",
            "affiliation": "N",
            "address_1": "401 W Flint St",
            "city": "Davison",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484231003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davison, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.