MS. DAVISON SARAI NICHOLAS LPC
NPI 1114273653
Counselor - Professional in Grandville, MI
About Ms. Davison Sarai Nicholas Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. DAVISON SARAI NICHOLAS LPC (NPI 1114273653) is an individual professional provider in Grandville, Michigan, licensed in Michigan (6401019337) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Davison Sarai Nicholas Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Davison Nicholas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grandville, MI 49418
- Reassigned Medicare billing, Michigan enrollment
- 11 clinicians in this Medicare group
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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Davison Nicholas's NPI number?
The NPI number for Davison Nicholas is 1114273653. It was assigned to this individual provider in the NPPES registry on August 2, 2012.
Where is Davison Nicholas located?
Davison Nicholas practices at 4370 Chicago Dr SW, Grandville, MI 49418. The listed phone number is (269) 215-1454.
What is Davison Nicholas's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Davison Nicholas enrolled in Medicare?
Yes. Davison Nicholas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Davison Nicholas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Davison Nicholas reassigns Medicare benefits to Suppression Expression Counseling, LLC (Grandville, MI). 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 Davison Nicholas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Davison Nicholas accept?
Health plans from Oscar Insurance Company, Priority Health and UnitedHealthcare list Davison Nicholas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Davison Nicholas was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ms. Davison Sarai Nicholas, LPC · NPI 1114273653
Professional provider in Grandville, Michigan. Individual provider, active in the CMS NPPES registry since August 2, 2012.
## Identity
- **NPI:** 1114273653 (Entity type: Individual)
- **Enumerated:** August 2, 2012
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 6401019337 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 4370 CHICAGO DR SW, Grandville, MI 49418-1694
- **Phone:** (269) 215-1454
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Suppression Expression Counseling, LLC (NPI 1811641855, Grandville, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** January 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1114273653) · Data from the CMS NPPES public registry.