Active NPI
Julie Lynette Dravis, LPC, MAC, CDCI
- Professional Counselor
- Kenai, AK
National Provider Identifier
1174097422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 491
- Practice address
- 508 S Willow St Ste D
Kenai, AK 99611-6940 - Phone
- (907) 252-6728
- NPI assigned
- Jan 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 491 | AK | Primary |
Addresses
Primary practice location
508 S Willow St Ste D
Kenai, AK 99611-6940
Mailing address
PO Box 903
Kenai, AK 99611-0903
Phone (907) 252-6728
Other practice location 1
1804 3rd Ave
Kenai, AK 99611-7477
Phone (907) 252-6728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 491 | AK | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548979200000",
"number": "1174097422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 903",
"city": "KENAI",
"state": "AK",
"postal_code": "996110903",
"telephone_number": "907-252-6728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 S WILLOW ST STE D",
"city": "KENAI",
"state": "AK",
"postal_code": "996116940",
"telephone_number": "907-252-6728"
}
],
"practiceLocations": [
{
"address_1": "1804 3rd Ave",
"address_purpose": "LOCATION",
"city": "Kenai",
"state": "AK",
"postal_code": "996117477",
"country_code": "US",
"telephone_number": "907-252-6728",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DRAVIS",
"first_name": "JULIE",
"middle_name": "LYNETTE",
"name_prefix": "Mrs.",
"credential": "LPC, MAC, CDCI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-18",
"last_updated": "2019-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AK",
"license": "491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenai, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.