Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kendall Donnell Davis, LPC, LAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1689108797

Kendall Donnell Davis, LPC, LAC is a Mental Health Counselor in Loveland, Colorado. Qualified in 2020, 6 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
6
Licensed in
CO
In the registry since
2017
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

4565 Kendall Pkwy
Loveland, CO 80538-9268
Phone: (970) 410-8228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3800 Automation Way Ste 102, Fort Collins, CO 80525-3451 — (970) 900-5835

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC.0019132 (CO)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence ACD.1813 (CO)

Record details

NPI number1689108797
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC , LAC
Sole proprietorNo
NPI enumeratedApril 14, 2017
Last updated in NPPESAugust 27, 2023
Certification dateAugust 27, 2023

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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