Organization Active NPI

Davenport & Associates Counseling and Consulting

  • Professional Counselor
  • St. Clair Shores, MI
National Provider Identifier
1972033579
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401010707 Issued in MI
Legal business name
DAVENPORT & ASSOCIATES COUNSELING AND CONSULTING
Practice address
22020 Greater Mack Ave.
St. Clair Shores, MI 48080-2369
Phone
(313) 559-2013
NPI assigned
Jun 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Sameerah Davenport, PHDNPI 1023552452
Title
Counselor/Owner
Phone
(313) 559-2013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 6401010707 MI Primary

Addresses

Primary practice location

22020 Greater Mack Ave.
St. Clair Shores, MI 48080-2369

Mailing address

22020 Greater Mack Ave
Saint Clair Shores, MI 48080-2369
Phone (313) 559-2013

Other identifiers 1

IdentifierTypeStateIssuer
1023552452OtherNPI

National Provider Directory

National Provider Directory

Locations

22020 Greater Mack Ave
Saint Clair Shores, MI 48080
Phone (313) 559-2013

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972033579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22020 GREATER MACK AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802369",
            "telephone_number": "313-559-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22020 GREATER MACK AVE.",
            "city": "ST. CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802369",
            "telephone_number": "313-559-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVENPORT & ASSOCIATES COUNSELING AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "SAMEERAH",
        "authorized_official_title_or_position": "COUNSELOR/OWNER",
        "authorized_official_telephone_number": "313-559-2013",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401010707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1023552452",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.