Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Davis M Shryer III, LADC, LPCC

Individual provider Professional Counselor · NPI 1215382379

Davis M Shryer III, LADC, LPCC is a Mental Health Counselor in Saint Paul, Minnesota. Qualified in 2009, 17 years ago. Practices as a sole proprietor. Licensed in Minnesota.

Years since qualifying
17
Licensed in
MN
In the registry since
2016
Specialties on file
2
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

195 5th St E #1408
Saint Paul, MN 55101
Phone: (651) 308-5540
Fax: (763) 537-6666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence CC13026 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 302852 (MN)

Record details

NPI number1215382379
Entity typeIndividual (Type 1)
GenderMale
Credentials LADC , LPCC
Sole proprietorYes
NPI enumeratedApril 26, 2016
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated

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