Michael Gayman Jr., ICADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

25R501 Issued in IA

Practice address

1411 Brady St
Davenport, IA 52803-4603

Phone

(563) 505-5621

NPI assigned

Mar 18, 2025

Last updated

Mar 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Roots to Recovery Collective LLC

  • Addiction (Substance Use Disorder) Counselor
  • Davenport, IA
  • NPI 1477349900
  NPD Authorized official

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1891595716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 BRADY ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528034603",
            "telephone_number": "563-505-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 BRADY ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528034603",
            "telephone_number": "563-505-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYMAN",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "ICADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "25R501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Garretson, PHARMD.
• Shelby M Garrison, AU.D., CCC-A
• Gastrointestinal Clinic of Quad Cities, P.C. (Quad City Gastroenterology)
• James Owen Gatti, LISW, LCSW
• Shelley Kay Gaul, PTA
• Charlotte Gebel, RN
• Generations Area Agency on Aging
• Genesis Health System (Genesis Health Group Davenport Clinic Health Home)
• Genesis Health System (Genesis Convenient Care Davenport)
• Genesis Health System (Genesis Health Group)

• Addiction (Substance Use Disorder) Counselor in Davenport, IA
• Providers in Davenport, IA by specialty
• Addiction (Substance Use Disorder) Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.