Active NPI
Mikael L White-Davis
- Mental Health Counselor
- Hamilton, OH
National Provider Identifier
1588225601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.2303891-SUPV
- Practice address
- 222 N E St
Hamilton, OH 45013-3048 - Phone
- (513) 591-9546
- NPI assigned
- Jun 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.2002827 | OH | |
| Mental Health Counselor | 101YM0800X | E.2303891-SUPV | OH | Primary |
Addresses
Primary practice location
222 N E St
Hamilton, OH 45013-3048
Mailing address
222 N E St
Hamilton, OH 45013-3048
Phone (513) 591-9546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2002827 | OH | MD | Mental Health Counselor |
| E.2303891-SUPV | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Grove, LLC | Mental Health | Current | Accepting new patients |
| Kosis - Knowledge of Self Is Supreme | Mental Health | Current | Accepting new patients |
| Wellness Grove LLC | Mental Health | Past | Accepting new patients |
Locations
4200 Munson St NW
Ste A
Canton, OH 44718
Phone (330) 915-2907
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Hamilton, OH
- NPI 1952979106
-
- Mental Health Counselor
- Canton, OH
- NPI 1043899859
-
dba Wellness Grove
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Canton, OH
- NPI 1124865654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1588225601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 N E ST",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450133048",
"telephone_number": "513-591-9546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 N E ST",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450133048",
"telephone_number": "513-591-9546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE-DAVIS",
"first_name": "MIKAEL",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-28",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.2002827",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.2303891-SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamilton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.