Alicia Davis, MS, LLPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401009715 Issued in MI

Practice address

200 W Spring St
Marquette, MI 49855-4630

Phone

(906) 225-1181

Fax

(906) 226-4845

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Alicia Davis Dewolfe Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1821100280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W SPRING ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554630",
            "telephone_number": "906-225-1181",
            "fax_number": "906-226-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W SPRING ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554630",
            "telephone_number": "906-225-1181",
            "fax_number": "906-226-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ALICIA",
        "credential": "MS, LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401009715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "DEWOLFE",
            "middle_name": "DAVIS",
            "credential": "MS, LLPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah June Dartt-Woehlert, BCBA-LBA
• Kenneth Allan Davenport, MD
• David a. Kyle OD PC
• Alycia Davidson, FNP-C
• Davis Drug Co
• Steven Michael Davis, D.D.S.
• Daniel Domingues De Oliveira, M.D.
• Clare De Pue, PA-C
• Debra L. Smith, Psy.D., PLLC
• Megan Marie Dechambeau, MS, AT, ATC

• All providers in Marquette, MI
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.