Naomi J Davis, LCPC-C

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

XL6323 Issued in ME

Practice address

550 Forest Ave Ste 103
Portland, ME 04101-1505

Phone

(207) 221-0635

Fax

(207) 221-0634

NPI assigned

Jan 13, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Psychmaine LLC

  • Multi-Specialty Clinic/Center
  • Portland, ME
  • NPI 1891409025
  NPD
• Jonathan C Fellers MD PA LLC

  • Multi-Specialty Clinic/Center
  • Portland, ME
  • NPI 1457823817

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1992419964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 FOREST AVE STE 103",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041011505",
            "telephone_number": "207-221-0635",
            "fax_number": "207-221-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 FOREST AVE STE 103",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041011505",
            "telephone_number": "207-221-0635",
            "fax_number": "207-221-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NAOMI",
        "middle_name": "J",
        "credential": "LCPC-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "XL6323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giulia Davis
• Hailey Carter Davis
• Jenni E. Davis, LCSW, CADC
• Jessica Joyce Davis, CRNA
• Louise L Davis, APRN BC
• Rosamund M Davis, MD
• Sylvia A Davis, LCSW
• Victoria E Davis, PA-C
• Benjamin Davison, MD
• Diane Davison, MT

• Mental Health Counselor in Portland, ME
• Providers in Portland, ME by specialty
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.