Raeleen Nicole Davis, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401014995 Issued in MI

Practice address

6667 Orchard Lake Rd
West Bloomfield, MI 48322-3404

Phone

(248) 206-8950

NPI assigned

Aug 17, 2015

Last updated

Apr 24, 2026By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: raeleen.davis.1@33161.direct.athenahealth.com

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.

• Innovations by Gomes Incorporated

  dba Ellie Mental Health - Clarkston

  • Mental Health Counselor
  • Clarkston, MI
  • NPI 1881389906
  Medicare reassignment NPD
• Defining You LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rochester Hills, MI
  • NPI 1205359239
  NPD Authorized official

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1730555459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6667 ORCHARD LAKE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223404",
            "telephone_number": "248-206-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6667 ORCHARD LAKE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223404",
            "telephone_number": "248-206-8950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7640 Dixie Hwy Ste 155",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "MI",
            "postal_code": "483462095",
            "country_code": "US",
            "telephone_number": "248-791-9266",
            "fax_number": "248-392-2601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RAELEEN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "raeleen.davis.1@33161.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena Direct Messaging Email Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Athena Direct Messaging Email Address",
            "address_1": "6667 Orchard Lake Rd",
            "city": "West Bloomfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483223404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David D Budaj PC
• Shane Terry Davidson, D.D.S.
• Ashley Ann Davies, OTR/L
• Cyril Davis
• Jason James Davis, M.D.
• Ron Davis, LLP
• Symone Davis
• Tasha M Davis, LPN
• Jonathan M Dawisha, PHARM D.
• Michelle Tang Day, MD

• Professional Counselor in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.