Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeremy Keith Davis, LPCC, LPC, LADC, SAC

Individual provider Mental Health Counselor · NPI 1518208206

Jeremy Keith Davis, LPCC, LPC, LADC, SAC is a Mental Health Counselor in Bloomington, Minnesota. Works from 2 locations. Licensed in Minnesota and Wisconsin.

Licensed in
MN, WI
In the registry since
2013
Specialties on file
4
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

8200 Humboldt Ave S Ste 100
Bloomington, MN 55431-1433
Phone: (952) 454-0421
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 405 Stageline Rd, Hudson, WI 54016-7848 — (715) 531-6000

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 2076 (MN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 5690-125 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 15822-131 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 305108 (MN)

Record details

NPI number1518208206
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC , LPC , LADC , SAC
Sole proprietorNo
NPI enumeratedMarch 6, 2013
Last updated in NPPESNovember 5, 2019

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