Individual provider Active NPI

Shauntai Renee Davis-Yeargin, LPC

  • Professional Counselor
  • Ypsilanti, MI
National Provider Identifier
1588093868
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401013590 Issued in MI
Practice address
993 Parkwood Ave
Ypsilanti, MI 48198-5873
Phone
(734) 254-2771
NPI assigned
Nov 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401013590 MI Primary
Mental Health Counselor 101YM0800X 6401013590 MI

Addresses

Primary practice location

993 Parkwood Ave
Ypsilanti, MI 48198-5873

Mailing address

993 Parkwood Ave
Ypsilanti, MI 48198-5873
Phone (734) 657-4140

Other practice location 1

835 Mason St Ste B220
Dearborn, MI 48124-2262
Phone (313) 561-9064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260312003813 MI Practitioner - Mental Health Counselor 9931682465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Modern Psychology Group PLLCGroup PAC ID 6103162896, 9 clinicians

Practice addresses (Care Compare)

835 Mason St
Suite B220
Dearborn, MI 48124-2262
Phone 3135619064102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401013590MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Modern Psychology Group,PLLC CurrentSince Feb 17, 2026 Accepting new patients
Therapy United LLC Mental Health Current Accepting new patients

Locations

835 Mason St
Ste B220
Dearborn, MI 48124
Phone 3135619064 ext. 102

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1588093868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 PARKWOOD AVE",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481985873",
            "telephone_number": "734-657-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 PARKWOOD AVE",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481985873",
            "telephone_number": "734-254-2771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "835 Mason St Ste B220",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481242262",
            "country_code": "US",
            "telephone_number": "313-561-9064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS-YEARGIN",
        "first_name": "SHAUNTAI",
        "middle_name": "RENEE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013590",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401013590",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.