Active NPI
Bernard Davis Jr.
- Counselor
- Lowell, MA
National Provider Identifier
1588578421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 21 George St FL 1
Lowell, MA 01852-2228 - Phone
- (978) 453-5736
- NPI assigned
- Sep 29, 2026
- Last updated
- Sep 29, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
21 George St FL 1
Lowell, MA 01852-2228
Mailing address
19 Overlook Ridge Ter Unit 206
Revere, MA 02151-1170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1588578421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 OVERLOOK RIDGE TER UNIT 206",
"city": "REVERE",
"state": "MA",
"postal_code": "021511170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 GEORGE ST FL 1",
"city": "LOWELL",
"state": "MA",
"postal_code": "018522228",
"telephone_number": "978-453-5736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "BERNARD",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-29",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.