Active NPI
Amy Marie Davenport - Dakin, LCPC
- Mental Health Counselor
- Augusta, ME
National Provider Identifier
1376623652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2166
- Practice address
- 76 Fairview Ave
Augusta, ME 04330-5832 - Phone
- (603) 257-0258
- Fax
- (888) 977-1570
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2166 | ME | Primary |
Addresses
Primary practice location
76 Fairview Ave
Augusta, ME 04330-5832
Mailing address
76 Fairview Ave Ste C
Augusta, ME 04330-5832
Phone (603) 257-0258
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 266310000 | Medicaid | ME |
Other names 1
- Amy Davenport
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1376623652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 FAIRVIEW AVE STE C",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043305832",
"telephone_number": "603-257-0258",
"fax_number": "888-977-1570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 FAIRVIEW AVE",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043305832",
"telephone_number": "603-257-0258",
"fax_number": "888-977-1570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVENPORT - DAKIN",
"first_name": "AMY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ME",
"license": "2166",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "266310000",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "DAVENPORT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.