IndividualActive
Kevin Knickerbocker, MA, LPC
NPI 1043929938 · Professional Counselor · Davison, MI
Provider details
- NPI number
- 1043929938
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- MA, LPC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6401000014 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8454 N Henderson Rd
Davison, MI 48423-9318
Phone: (810) 834-7769
Street-level locationGet directions
Mailing address
8454 N Henderson Rd
Davison, MI 48423-9318
Registry dates
- Enumerated
- 2022-11-18
- Last updated
- 2022-11-18
- Certified
- 2022-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.