Individual provider Active NPI

Julia Devine

  • Professional Counselor
  • Lexington Park, MD
National Provider Identifier
1457507899
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC5662 Issued in MD
Practice address
21945 Three Notch Rd Ste 102
Lexington Park, MD 20653-1563
Phone
(240) 298-6680
NPI assigned
Aug 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC5662 MD Primary

Addresses

Primary practice location

21945 Three Notch Rd Ste 102
Lexington Park, MD 20653-1563

Mailing address

40900 New Market Turner Rd
Mechanicsville, MD 20659-4825
Phone (240) 298-6680

Other practice location 1

6100 Radio Station Road
LaPlata, MD 20646
Phone (301) 609-9887

Other identifiers 1

IdentifierTypeStateIssuer
58956180MedicaidMD

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
LC5662MDMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1457507899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40900 NEW MARKET TURNER RD",
            "city": "MECHANICSVILLE",
            "state": "MD",
            "postal_code": "206594825",
            "telephone_number": "240-298-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21945 THREE NOTCH RD STE 102",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206531563",
            "telephone_number": "240-298-6680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6100 Radio Station Road",
            "address_purpose": "LOCATION",
            "city": "LaPlata",
            "state": "MD",
            "postal_code": "20646",
            "country_code": "US",
            "telephone_number": "301-609-9887",
            "fax_number": "301-609-7284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "JULIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC5662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58956180",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.