KARSHIBIA DAVIDSON (MS, LPC, NCC) – Mental Health Counselor, NPI 1255612883

KARSHIBIA DAVIDSON (MS, LPC, NCC) is a healthcare provider. based in Port huron, Michigan. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MS, LPC, NCC. They hold a License No. 6401011772 (MI). The NPI Number for KARSHIBIA DAVIDSON (MS, LPC, NCC) is 1255612883

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
KARSHIBIA DAVIDSON (MS, LPC, NCC)
NPI
1255612883
Phone
(888) 788-7145
Address
852 32ND ST UNIT 611140
Enumeration Date
9 September 2011
Last Update Date
12 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8109844202
Graduation Year
2004 (22 years ago)
PAC ID
0749625366
Group Practice PAC ID
1759370208
Professional Enrollment ID
I20240305001459
Address ID
MI480603838PO520XXSTXX300

Contacts

Main Contact
https://www.therapyportal.com/p/lloydhuman/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

2,023 MENTAL HEALTH COUNSELOR in MI

Provider Addresses for KARSHIBIA DAVIDSON (MS, LPC, NCC)

  • 852 32ND ST UNIT 611140

    PORT HURON, MI 480616231

    Phone: (888) 788-7145

    Fax: (888) 788-7145

    Type: Mailing

  • 1020 HUNTER CT

    MARYSVILLE, MI 480402061

    Phone: (887) 887-1458

    Fax: (888) 788-7145

    Type: Location

  • 322 FRANKLIN LAKE CIR

    OXFORD, MI 483716704

    Phone: (888) 788-7145

    Fax: (888) 788-1564

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240305001459IMental Health CounselorMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48061)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759370208View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerMI
Mental Health CounselorMI
P S Y C H I A T R YTN
Clinical Social WorkerMI
Mental Health CounselorCO
Clinical Social WorkerMI
Clinical Social WorkerMI
Mental Health CounselorMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What identifier follows KARSHIBIA DAVIDSON (MS, LPC, NCC) across health systems?
The NPI 1255612883 uniquely identifies KARSHIBIA DAVIDSON (MS, LPC, NCC) in U.S. healthcare data.
Does the public listing show KARSHIBIA DAVIDSON (MS, LPC, NCC) as active?
KARSHIBIA DAVIDSON (MS, LPC, NCC)'s NPI record reflects an active status in NPPES.
What services align with KARSHIBIA DAVIDSON (MS, LPC, NCC)'s listing?
KARSHIBIA DAVIDSON (MS, LPC, NCC)'s public classification highlights Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What city is tied to KARSHIBIA DAVIDSON (MS, LPC, NCC)?
The directory associates KARSHIBIA DAVIDSON (MS, LPC, NCC) with Port Huron, Michigan. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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