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KEVIN BRUCE KNICKERBOCKER MA, LPC
NPI 1043929938
Counselor - Professional in Davison, MI

Active since November 18, 2022
8454 N HENDERSON RD, DAVISON, MI 48423(810) 834-7769 Get Directions Write a Review

NPPES record last updated: November 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin Bruce Knickerbocker Ma, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN BRUCE KNICKERBOCKER MA, LPC (NPI 1043929938) is an individual professional provider in Davison, Michigan, licensed in Michigan (6401000014) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1043929938
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKEVIN BRUCE KNICKERBOCKERCredential: MA, LPC
Location Address8454 N HENDERSON RDDavison, MI 48423-9318
Mailing Address8454 N Henderson RdDavison, MI 48423-9318 · (810) 834-7769
Phone(810) 834-7769
Sole ProprietorYes
Enumeration DateNovember 18, 2022
NPPES CertifiedNovember 18, 2022
✔ NPI 1043929938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401000014
8454 N HENDERSON RD, Davison, MI 48423
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Knickerbocker's NPI number?

The NPI number for Kevin Knickerbocker is 1043929938. It was assigned to this individual provider in the NPPES registry on November 18, 2022.

Where is Kevin Knickerbocker located?

Kevin Knickerbocker practices at 8454 N Henderson Rd, Davison, MI 48423. The listed phone number is (810) 834-7769.

What is Kevin Knickerbocker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kevin Knickerbocker was last updated on November 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.