Individual provider Active NPI

Julie A Fitzick, LMFT

  • Marriage & Family Therapist
  • Ocean City, NJ
National Provider Identifier
1114528395
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
37FI00235400 Issued in NJ
Practice address
2401 Bay Ave Ste 2
Ocean City, NJ 08226-2456
Phone
(609) 246-0139
NPI assigned
Nov 4, 2020
Reactivated
Nov 1, 2024
Last updated
Nov 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 37FI00235400 NJ Primary

Addresses

Primary practice location

2401 Bay Ave Ste 2
Ocean City, NJ 08226-2456

Mailing address

2401 Bay Ave Ste 2
Ocean City, NJ 08226-2456
Phone (609) 246-0139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250730000832 NJ Practitioner - Marriage and Family Therapist 4688181076 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Behavioral Health Services PC CurrentSince Jun 23, 2025 Accepting new patients
Mindful Childhood Marriage & Family Therapist CurrentSince Nov 24, 2024 Accepting new patients
The Center for Growth Marriage & Family Therapist PastSince Nov 1, 2020 Accepting new patients

Locations

2401 Bay Ave
Ste 2
Ocean City, NJ 08226
Phone (609) 246-0139

140 E Ridgewood Ave
Ste 415
Paramus, NJ 07652
Phone (201) 720-1900

Organizations & group practices 3

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": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1114528395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 BAY AVE STE 2",
            "city": "OCEAN CITY",
            "state": "NJ",
            "postal_code": "082262456",
            "telephone_number": "609-246-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 BAY AVE STE 2",
            "city": "OCEAN CITY",
            "state": "NJ",
            "postal_code": "082262456",
            "telephone_number": "609-246-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZICK",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "deactivation_date": "2024-08-09",
        "reactivation_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FI00235400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean City, NJ

Sources for this page

Verify at the official NPI Registry.