Michelle Christine Davis, LPC
Individual provider Active NPI Professional Counselor · Crestone, CO
NPI 1982166773 · NPPES record last updated Jun 23, 2025
Key facts
- NPI
- 1982166773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0014859 (CO)
- Practice address
- 207 Foothills Overlook
Crestone, CO 81131 - Phone
- (719) 588-3484
- NPI assigned
- Apr 2, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sondermind Provider Network LLC
Practice addresses (Care Compare)
720 S Colorado Blvd
PH North
Denver, CO 80246-1904
Phone (844) 843-7279
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250619001626 | CO | Practitioner - Mental Health Counselor | 1254842818 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0014859 | CO | MD | Professional Counselor |
| LPC0014859 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Professional | Current |
Accepting new patients |
Locations
720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC0014859 | CO | |
| Professional Counselor | 101YP2500X | 0014859 | CO | Yes |
Addresses
Primary practice location
207 Foothills Overlook
Crestone, CO 81131
Mailing address
PO Box 1050
Crestone, CO 81131-1050
Phone (719) 588-3484
Other providers in Crestone, CO
- Art and Science of Medicine LLC
- Baca Grande Property Owners Association
- Mariana Morais Cajaiba
- Alycia Jeanne Chambers
- Community Care Collective
- Debora Ross Therapy
- Dr Debra Irizarry
- Elizabeth J Gordon
- Helm Partners Therapy
- Robin Helm
All providers in Crestone, CO · Professional Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.