MARTHA ANN DAVIS LPC
NPI 1558776104
Counselor - Professional in Grand Rapids, MI

Q: What is Martha Davis's NPI number?

The NPI number for Martha Davis is 1558776104. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Q: What is Martha Davis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Martha Davis was last updated on December 23, 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.

Active since June 23, 2014PECOS Enrolled

3744 28TH ST SE, GRAND RAPIDS, MI 49512(616) 466-7708 Get Directions Write a Review

NPPES record last updated: December 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 23, 2022, Jul 11, 2022 (2 updates tracked since 2022).

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About Martha Ann Davis Lpc NPPES

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

MARTHA ANN DAVIS LPC (NPI 1558776104) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6401014279) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1558776104

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMARTHA ANN DAVISCredential: LPC

Location Address3744 28TH ST SEGrand Rapids, MI 49512-1802

Mailing Address6549 Town Center Dr Ste AClarkston, MI 48346-4824 · (800) 395-3223

Phone(616) 466-7708

Sole ProprietorNo

Enumeration DateJune 23, 2014

Last NPPES UpdateDecember 23, 20222 updates tracked since enumeration

NPPES CertifiedDecember 23, 2022

✔ NPI 1558776104 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 · 6401014279

3744 28TH ST SE, Grand Rapids, MI 49512

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Secondary Practice Location 1

Location 12828 Kraft Ave SE Ste 186Grand Rapids, MI 49512-2076 · Phone (616) 949-9550 · Fax (616) 949-9551

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Martha Ann 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

15 services15 patients

Other Providers at the Same Location NPPES 6

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

ANGELA CAMERUCI LMSW

Social Worker (Clinical)

3744 28TH ST SE
KENTWOOD, MI 49512

Kent County (800) 395-3223

CLARA KROLL

Technician, Other

3744 28TH ST SE
KENTWOOD, MI 49512

Kent County (800) 395-3223

MRS. DOROTHY LORETTA BURGESS M.A.

Counselor (Professional)

3744 28TH ST SE
GRAND RAPIDS, MI 49512

Kent County (616) 466-7708

POLLY ANN MCCAUL LLC

Counselor (Professional)

3744 28TH ST SE
KENTWOOD, MI 49512

Kent County (800) 395-3223

ISMAIL B. SENDI, MD, PC

Clinic/Center (Mental Health (Including Community Mental Health Center))

3744 28TH ST SE
GRAND RAPIDS, MI 49512

Kent County (616) 466-7708

MRS. SHARON KAY MUSIC LMSW

Social Worker (Clinical)

3744 28TH ST SE
GRAND RAPIDS, MI 49512

Kent County (800) 395-3223

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 Martha Davis's NPI number?

The NPI number for Martha Davis is 1558776104. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Where is Martha Davis located?

Martha Davis practices at 3744 28th St SE, Grand Rapids, MI 49512. The listed phone number is (616) 466-7708.

What is Martha Davis's specialty?

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

Is Martha Davis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Martha Davis was last updated on December 23, 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.