Cheryl A Davidson, MA, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178016078 Issued in IL

Practice address

311 N 2ND St Ste 207
St Charles, IL 60174-1852

Phone

(630) 797-9192

NPI assigned

May 31, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Cheryl Davidson LCPC PLLC

  • Adult Mental Health Clinic/Center
  • St Charles, IL
  • NPI 1023847985
  Medicare reassignment NPD Authorized official
• Kane County Counseling Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Charles, IL
  • NPI 1932613320
  NPD (past)

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

{
    "created_epoch": "1622419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1891361960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N 2ND ST STE 207",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741852",
            "telephone_number": "630-797-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N 2ND ST STE 207",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741852",
            "telephone_number": "630-797-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "CHERYL",
        "middle_name": "A",
        "credential": "MA, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-31",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180015470",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178016078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lara Daniels, MS, CRC, LPC
• Debora J Dassie, OTR/L
• David C. Roble, MDSC
• David C. Roble, MDSC
• David Goodman, PH.D. Psychologist LTD.
• Patrick Lloyd Davis, DO
• Natalie De Lira, RBT
• Dead Bug Rehab PLLC
• Dean Dental Studio PC
• Barbara Decarlo, APRN, CNP

• Professional Counselor in St Charles, IL
• Providers in St Charles, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.