Daniel Allen Davis, MA

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401013106 Issued in MI

Practice address

519 S Park St
Kalamazoo, MI 49007-5117

Phone

(269) 383-2294

NPI assigned

Sep 17, 2012

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

Other identifiers 1

Other names 1

• Dan A Davis Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1497005508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54251 OLD MILL DR",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465144819",
            "telephone_number": "517-599-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 S PARK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075117",
            "telephone_number": "269-383-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DANIEL",
        "middle_name": "ALLEN",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-17",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401013106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH & SOCIAL SERVICES PROVIDER",
            "identifier": "1497005508",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAN",
            "last_name": "DAVIS",
            "middle_name": "A",
            "credential": "MA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Melissa Ann Davidson, M.D.
• Abigail Davis
• Candace Ann Davis, MD, LLPC
• Carly H Davis, M.D.
• Cynthia Davis, BS
• Diane Elizabeth Davis, LBSW
• Hope I Davis
• Jazhane Davis, BSW
• Jeffrey V Davis
• Julie Meredith Davis, LP

• Counselor in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.