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MS. LACONYER DAVIS MACC, LPC, NCC, CADC
NPI 1063956894
Counselor - Professional in Calumet City, IL

Active since December 13, 2016PECOS Enrolled
1473 RING RD, GREAT HEIGHTS FAMILY MEDICINE, CALUMET CITY, IL 60409(312) 885-2195 Get Directions Write a Review

NPPES record last updated: December 13, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Laconyer Davis Macc, Lpc, Ncc, Cadc NPPES

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

MS. LACONYER DAVIS MACC, LPC, NCC, CADC (NPI 1063956894) is an individual professional provider in Calumet City, Illinois, licensed in Illinois (178011924) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063956894
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. LACONYER DAVISCredential: MACC, LPC, NCC, CADC
Location Address1473 RING RD, GREAT HEIGHTS FAMILY MEDICINECalumet City, IL 60409-5459
Mailing Address1473 Ring Rd, Great Heights Family MedicineCalumet City, IL 60409-5459 · (312) 885-2195
Phone(312) 885-2195
Sole ProprietorNo
Enumeration DateDecember 13, 2016
✔ NPI 1063956894 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 IL · 178011924
1473 RING RD, Calumet City, IL 60409
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Laconyer Davis Macc, Lpc, Ncc, Cadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Laconyer Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mccd Fl Psychiatry Services PA
844 mi
Psychiatry
1301 RIVERPLACE BLVD STE 800
Jacksonville, FL 32207
  • Reassigned Medicare billing, Illinois enrollment
  • 70 clinicians in this Medicare group
NPI 1659003457 (833) 351-8255

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THERESA IBEABUCHI NURSE PRACTITIONER
Family Medicine
1473 RING RD
CALUMET CITY, IL 60409
Cook County (708) 862-8156
COMPREHENSIVE MEDICAL MANAGEMENT SERVICES LTD
Psychiatry & Neurology (Addiction Medicine)
1473 RING RD
CALUMET CITY, IL 60409
Cook County (708) 868-0003
GREAT HEIGHTS FAMILY MEDICINE LTD.
Family Medicine (Addiction Medicine)
1473 RING RD
CALUMET CITY, IL 60409
Cook County (312) 952-9378
DR. ABDULATEEF O KAREEM M.D.
Family Medicine (Geriatric Medicine)
1473 RING RD
CALUMET CITY, IL 60409
Cook County (773) 510-9985
HANSERS ASSOCIATES
Family Medicine
1473 RING RD
CALUMET CITY, IL 60409
Cook County (708) 862-8156
PAMELA DIANE BRANTLEY NP
Nurse Practitioner (Family)
1473 RING RD
CALUMET CITY, IL 60409
Cook County (708) 862-8156
GREAT HEIGHTS OTP
Clinic/Center (Methadone)
1473 RING RD
CALUMET CITY, IL 60409
Cook County (708) 862-8156
OAKMERIT HEALTHCARE SC
Family Medicine
1473 RING RD
CALUMET CITY, IL 60409
Cook County (708) 862-8156

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 Laconyer Davis's NPI number?

The NPI number for Laconyer Davis is 1063956894. It was assigned to this individual provider in the NPPES registry on December 13, 2016.

Where is Laconyer Davis located?

Laconyer Davis practices at 1473 Ring Rd Great Heights Family Medicine, Calumet City, IL 60409. The listed phone number is (312) 885-2195.

What is Laconyer Davis's specialty?

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

Is Laconyer Davis enrolled in Medicare?

Yes. Laconyer Davis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Laconyer Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laconyer Davis reassigns Medicare benefits to Mccd Fl Psychiatry Services PA (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Laconyer Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Laconyer Davis was last updated on December 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.