Julia Ann Smith, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10570 Issued in CA

Practice address

2855 Telegraph Ave Ste 515
Berkeley, CA 94705-1151

Phone

(831) 264-7361

NPI assigned

Mar 6, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: juliasmith@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1033350871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 LIGHTHOUSE AVE # 191",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939401010",
            "telephone_number": "619-866-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 TELEGRAPH AVE STE 515",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051151",
            "telephone_number": "831-264-7361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Glenwood Cir Apt 13H",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "939406723",
            "country_code": "US",
            "telephone_number": "831-233-1755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1035 Cass St",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "939404517",
            "country_code": "US",
            "telephone_number": "831-264-7361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JULIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-06",
        "last_updated": "2022-10-11",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "001019",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "10570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Smith, MA
• George K.L. Smith
• Grace Elizabeth Smith, LCSW
• Joanna Karen Smith, LCSW
• Jordan Smith, CNM
• Kameka Smith, RAS INTERN
• Kathleen Elizabeth Smith, MFT
• Laurence Luther Smith
• Matthew Smith, CMT
• Megan Kelly Smith, MEGAN KELLY SMITH

• Professional Counselor in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.