MISS BRONWYN MAREA DAVIS MA, LPC
NPI 1457872822
Counselor - Professional in Roseville, MI

Active since July 06, 2017PECOS EnrolledAccepts Medicare Assignment
28491 UTICA RD STE 207, ROSEVILLE, MI 48066(313) 605-5813 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 13, 2020, Jul 6, 2017 (2 updates tracked since 2017).

About Miss Bronwyn Marea Davis Ma, Lpc NPPES

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

MISS BRONWYN MAREA DAVIS MA, LPC (NPI 1457872822) is an individual professional provider in Roseville, Michigan, licensed in Michigan (6401018273) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Warren, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1457872822
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMISS BRONWYN MAREA DAVISCredential: MA, LPC
Location Address28491 UTICA RD STE 207Roseville, MI 48066-2593
Mailing Address28491 Utica Rd Ste 207Roseville, MI 48066-2593
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 6, 2017
Last NPPES UpdateSeptember 1, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2021
✔ NPI 1457872822 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 · 6401018273
28491 UTICA RD STE 207, Roseville, MI 48066

Secondary Practice Location 1

Location 18150 Old 13 Mile RdWarren, MI 48093-8700 · Phone (800) 395-3223

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

Miss Bronwyn Marea Davis Ma, 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.

PECOS PAC ID941653596
PECOS Enrollment IDI20240130003058
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 Reassignments

3

Medicare enrollment records show Bronwyn Davis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Professional
28491 UTICA RD STE 207
Roseville, MI 48066
  • Reassigned Medicare billing, Michigan enrollment
Mental Health (Including Community Mental Health Center)
43740 N GROESBECK HWY
Clinton Twp, MI 48036
  • Reassigned Medicare billing, Michigan enrollment
  • 120 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
6549 TOWN CENTER DR, SUITE A
Clarkston, MI 48346
  • Reassigned Medicare billing, Michigan enrollment
  • 132 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.

Counselor (Professional)
28491 UTICA RD STE 207
ROSEVILLE, MI 48066

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 Bronwyn Davis's NPI number?

The NPI number for Bronwyn Davis is 1457872822. It was assigned to this individual provider in the NPPES registry on July 6, 2017.

Where is Bronwyn Davis located?

Bronwyn Davis practices at 28491 Utica Rd Ste 207, Roseville, MI 48066. The listed phone number is (313) 605-5813.

What is Bronwyn Davis's specialty?

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

Is Bronwyn Davis enrolled in Medicare?

Yes. Bronwyn Davis 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 organizations bill Medicare for Bronwyn Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bronwyn Davis reassigns Medicare benefits to 3 organizations: A Safe Place Clinical Counseling PLLC (Roseville, MI), County Of Macomb (Clinton Twp, MI) and Ismail B. Sendi, MD, PC (Clarkston, MI). Each 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 Bronwyn Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bronwyn Davis accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 1 other insurer list Bronwyn Davis 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 Bronwyn Davis was last updated on September 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.