Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578428504 Individual Practitioner

Kevin Davis

Counselor • Coon Rapids, MN

Professional Overview & Biography Verified Profile Summary

Kevin Davis is a registered healthcare professional specializing in Counselor in Coon Rapids, MN. Practice services are available at 1865 132ND LN NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1865 132nd Ln Nw

Coon Rapids, MN 554481397

Telephone 6512636291
Associated Practice Facility / Clinic
🏢 Glorious Eagles Llc Facility NPI 1134925951

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Coon Rapids, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
7 Specialists

Practicing in Coon Rapids, MN (455 Statewide)

Telehealth Adoption Rate
14.3% 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: 2025-12-22
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Samuel Odumakin

Counselor - Mental Health

NPI 1114899911
Demarion Abrams

Counselor - Mental Health

NPI 1154266567
Alphonoso Gray

Counselor - Mental Health

NPI 1386518835
Jael Masi

Counselor

NPI 1396696829
Hamsa Jama

Home Health Aide

NPI 1427947860
Felicia Williams

Counselor - Mental Health

NPI 1427993831

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 22, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location December 22, 2025

Registered at 1865 132ND LN NW, COON RAPIDS, MN 554481397 (Tel: 6512636291)

📍
Updated Business Mailing Address December 22, 2025

Registered at 1865 132ND LN NW, COON RAPIDS, MN 554481397 (Tel: 6512636291)

👤
Provider Name / Credentials Updated December 22, 2025

Recorded as KEVIN DAVIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2025

Counselor

🟢
Initial NPI Registration & Enumeration December 22, 2025

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: 1578428504
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 22, 2025
Last Update: December 22, 2025
Sole Proprietor: No

Mailing Address

1865 132nd Ln Nw

Coon Rapids, MN 554481397

Phone: 6512636291

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.