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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RYAN DAVIS LPC
NPI 1104428176
Counselor - Professional in Ionia, MI

Active since November 13, 2020PECOS Enrolled
375 APPLE TREE DR, IONIA, MI 48846(616) 527-1790 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 24, 2026, Nov 13, 2020 (2 updates tracked since 2020).

About Ryan Davis Lpc NPPES

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

RYAN DAVIS LPC (NPI 1104428176) is an individual professional provider in Ionia, Michigan, licensed in Michigan (6401013745) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1104428176
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameRYAN DAVISCredential: LPC
Location Address375 APPLE TREE DRIonia, MI 48846-7506
Mailing Address790 Fuller Ave NeGrand Rapids, MI 49503-1918 · (616) 336-3909 · Fax (616) 336-8830
Phone(616) 527-1790
Sole ProprietorNo
Enumeration DateNovember 13, 2020
Last NPPES UpdateSeptember 24, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2026
✔ NPI 1104428176 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 · 6401013745
375 APPLE TREE DR, Ionia, MI 48846
Open in Google Maps ↗

Secondary Practice Location 1

Location 1790 Fuller Ave NEGrand Rapids, MI 49503-1918 · Phone (616) 336-3909 · Fax (616) 336-8830

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Davis Lpc 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.

Other Providers at the Same Location NPPES 20

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

MACIE REED
Assistant Behavior Analyst
375 APPLE TREE DR
IONIA, MI 48846
Ionia County (616) 527-1790
JONNA MALAVE
Behavior Technician
375 APPLE TREE DR
IONIA, MI 48846
Ionia County (616) 527-1790
NICOLE MUNFORD
Peer Specialist
375 APPLE TREE DR
IONIA, MI 48846
Ionia County (616) 527-1790
MINH CONG HOANG LMSW
Social Worker
375 APPLE TREE DR
IONIA, MI 48846
Ionia County (616) 527-1790
MADISON JEAN KORESH MA, BCBA
Behavior Analyst
375 APPLE TREE DR
IONIA, MI 48846
Ionia County (616) 527-1790
TONY PACHECO LUIS
Behavior Technician
375 APPLE TREE DR
IONIA, MI 48846
Ionia County (616) 527-1790
ALEXZANDRA DOTY
Community Health Worker
375 APPLE TREE DR
IONIA, MI 48846
Ionia County (616) 527-1790
MRS. KATIE REBECCA MAGNUSON LLBSW
Social Worker
375 APPLE TREE DR
IONIA, MI 48846
Ionia County (616) 527-1790

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 Ryan Davis's NPI number?

The NPI number for Ryan Davis is 1104428176. It was assigned to this individual provider in the NPPES registry on November 13, 2020.

Where is Ryan Davis located?

Ryan Davis practices at 375 Apple Tree Dr, Ionia, MI 48846. The listed phone number is (616) 527-1790.

What is Ryan Davis's specialty?

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

Is Ryan Davis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ryan Davis was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.