TRISTEN DAVIS NPI 1548671878

NPI Information

  • NPI: 1548671878
  • Provider Name: TRISTEN DAVIS
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 3940 PENINSULAR DR SE STE 230A404
    GRAND RAPIDS, MI
    ZIP 49546
  • Phone: (616) 315-1226

Map and Directions

Get Directions

NPI Details

Tristen Davis is a mental health counselor in Grand Rapids, MI. Tristen Davis NPI is 1548671878. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3940 PENINSULAR DR SE STE 230A404
GRAND RAPIDS, MI
ZIP 49546-442
Phone: (616) 315-1226

The enumeration date for this NPI number is 5/8/2014 and was last updated on 10/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health178018115ILLINOISNo
2101YM0800XCounselorMental Health6401224084MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1994069486OTHERMICHIGANIRS
2994069486MEDICAIDMICHIGAN
3994981279MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.