Crystal Noel Davis, MA, LPC, IMH-E II

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401013868 Issued in MI

Practice address

511 Griffin Rd
West Branch, MI 48661-9251

Phone

(989) 345-5571

NPI assigned

Aug 15, 2018

Last updated

Aug 15, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1902386410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 GRIFFIN RD",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619251",
            "telephone_number": "989-345-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 GRIFFIN RD",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619251",
            "telephone_number": "989-345-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CRYSTAL",
        "middle_name": "NOEL",
        "name_prefix": "Ms.",
        "credential": "MA, LPC, IMH-E II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401013868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisa Dack, RDH
• Meaghan Dankert
• Troy Dante
• Carlene Grace Dardas, COTAL
• April Christin David, LPC
• Stephen Dawson, BA PSYCHOLOGY
• Guy Dean, R. PH.
• Sarah Degeorge
• Elizabeth Dekryger, PA
• Diagnostic Imaging of West Branch PC

• Mental Health Counselor in West Branch, MI
• Providers in West Branch, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.