Individual provider Active NPI

Julia Davena, RADT

  • Addiction (Substance Use Disorder) Counselor
  • Fair Oaks, CA
National Provider Identifier
1265909402
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
R1404430920 Issued in CA
Practice address
7949 California Ave Ste 15
Fair Oaks, CA 95628-7156
Phone
(916) 863-7949
NPI assigned
Oct 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X R1404430920 CA Primary

Addresses

Primary practice location

7949 California Ave Ste 15
Fair Oaks, CA 95628-7156

Mailing address

7949 California Ave Ste 15
Fair Oaks, CA 95628-7156
Phone (916) 863-7949

Other practice location 1

730 Sunrise Ave Ste 201
Roseville, CA 95661-4553
Phone (916) 782-3737

Other practice location 2

12183 Locksley Ln Ste 101
Auburn, CA 95602-2050
Phone (530) 885-1916

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

LicenseStateTypeSpecialty
R1404430920CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
H.O.P.E. Consulting, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1265909402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7949 CALIFORNIA AVE STE 15",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287156",
            "telephone_number": "916-863-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7949 CALIFORNIA AVE STE 15",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287156",
            "telephone_number": "916-863-7949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Sunrise Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956614553",
            "country_code": "US",
            "telephone_number": "916-782-3737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12183 Locksley Ln Ste 101",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "CA",
            "postal_code": "956022050",
            "country_code": "US",
            "telephone_number": "530-885-1916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVENA",
        "first_name": "JULIA",
        "credential": "RADT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1404430920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.