Individual provider Active NPI

Julie Ann Daignault, L.A.D.C., C.C.S.

  • Addiction (Substance Use Disorder) Counselor
  • Windham, ME
National Provider Identifier
1609238450
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LC5089 Issued in ME
Practice address
86 Tandberg TRL
Windham, ME 04062-5841
Phone
(207) 893-0386
Fax
(207) 893-2086
NPI assigned
Mar 22, 2016
Last updated
Mar 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LC5089 ME Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X CCS5541 ME

Addresses

Primary practice location

86 Tandberg TRL
Windham, ME 04062-5841

Mailing address

86 Tandberg TRL
Windham, ME 04062-5841
Phone (207) 893-0386

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
CCS5541MEMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1609238450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 TANDBERG TRL",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625841",
            "telephone_number": "207-893-0386",
            "fax_number": "207-893-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 TANDBERG TRL",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625841",
            "telephone_number": "207-893-0386",
            "fax_number": "207-893-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAIGNAULT",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "L.A.D.C., C.C.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC5089",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "CCS5541",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windham, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.