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Active NPI 1043929938 Individual Practitioner Male Practitioner

Kevin Bruce Knickerbocker , MA, LPC

Counselor - Professional • Davison, MI

Professional Overview & Biography Verified Profile Summary

Kevin Knickerbocker, MA, LPC is a registered healthcare professional specializing in Counselor - Professional in Davison, MI. Practice services are available at 8454 N HENDERSON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8454 N Henderson Rd

Davison, MI 484239318

Telephone 8108347769

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Davison, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
8 Specialists

Practicing in Davison, MI (5077 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-11-18
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MI 6401000014

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 18, 2022

NPI status registered as active in NPPES database

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Updated Practice Location November 18, 2022

Registered at 8454 N HENDERSON RD, DAVISON, MI 484239318 (Tel: 8108347769)

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Updated Business Mailing Address November 18, 2022

Registered at 8454 N HENDERSON RD, DAVISON, MI 484239318 (Tel: 8108347769)

👤
Provider Name / Credentials Updated November 18, 2022

Recorded as KEVIN KNICKERBOCKER, MA, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2022

Counselor (License #6401000014 in MI)

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Initial NPI Registration & Enumeration November 18, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043929938
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 18, 2022
Last Update: November 18, 2022
Sole Proprietor: Yes

Mailing Address

8454 N Henderson Rd

Davison, MI 484239318

Phone: 8108347769

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.