Individual provider Active NPI

Julia Marilyn Davis, LCPC

  • Professional Counselor
  • Presque Isle, ME
National Provider Identifier
1508441080
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC7349 Issued in ME
Practice address
24 North St Ste 1
Presque Isle, ME 04769-2239
Phone
(207) 619-0419
NPI assigned
Mar 16, 2021
Last updated
Jun 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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 CC7349 ME Primary

Addresses

Primary practice location

24 North St Ste 1
Presque Isle, ME 04769-2239

Mailing address

24 North St Ste 1
Presque Isle, ME 04769-2239
Phone (207) 619-0419

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
CC7349MEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
HM Counseling CurrentSince Jun 29, 2025 Accepting new patients
The Northern Lighthouse Inc PastSince Mar 1, 2021 Accepting new patients
Northern Lighthouse Inc. PastSince Mar 1, 2021 Accepting new patients

Locations

24 North St
#1
Presque Isle, ME 04769
Phone (207) 619-0419

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1508441080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 NORTH ST STE 1",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692239",
            "telephone_number": "207-619-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 NORTH ST STE 1",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692239",
            "telephone_number": "207-619-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JULIA",
        "middle_name": "MARILYN",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC7349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Presque Isle, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.