Individual provider Active NPI

Julia Alexandra Ouellette, LCPC-C

  • Mental Health Counselor
  • Biddeford, ME
National Provider Identifier
1548019474
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
XL7440 Issued in ME
Practice address
551 Alfred St
Biddeford, ME 04005-9474
Phone
(207) 608-9896
NPI assigned
May 14, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X XL7440 ME Primary

Addresses

Primary practice location

551 Alfred St
Biddeford, ME 04005-9474

Mailing address

220 Boyds Corner Rd
South Berwick, ME 03908-2011
Phone (207) 608-9896

Other practice location 1

220 Boyds Corner Rd
South Berwick, ME 03908-2011
Phone (207) 608-9896

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
XL7440MEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Awakened Soul LLC Mental Health CurrentSince Jul 21, 2024 Accepting new patients

Locations

551 Alfred St
Biddeford, ME 04005
Phone (207) 608-9896

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, 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": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1548019474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 BOYDS CORNER RD",
            "city": "SOUTH BERWICK",
            "state": "ME",
            "postal_code": "039082011",
            "telephone_number": "207-608-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 ALFRED ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059474",
            "telephone_number": "207-608-9896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Boyds Corner Rd",
            "address_purpose": "LOCATION",
            "city": "South Berwick",
            "state": "ME",
            "postal_code": "039082011",
            "country_code": "US",
            "telephone_number": "207-608-9896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OUELLETTE",
        "first_name": "JULIA",
        "middle_name": "ALEXANDRA",
        "credential": "LCPC-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "XL7440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.

Verify at the official NPI Registry.