Individual provider Active NPI

Julie Hurd

  • Mental Health Counselor
  • Manhattan Beach, CA
National Provider Identifier
1114623873
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
STUDENT Issued in CA
Practice address
210 S Poinsettia Ave
Manhattan Beach, CA 90266-6644
Phone
(925) 324-8630
NPI assigned
Feb 3, 2023
Last updated
Feb 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X STUDENT CA Primary

Addresses

Primary practice location

210 S Poinsettia Ave
Manhattan Beach, CA 90266-6644

Mailing address

210 S Poinsettia Ave
Manhattan Beach, CA 90266-6644
Phone (925) 324-8630

Other practice location 1

1500 Rosecrans Ave Ste 500
Manhattan Beach, CA 90266-3771
Phone (925) 324-8630

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
STUDENTCAMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1114623873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S POINSETTIA AVE",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666644",
            "telephone_number": "925-324-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S POINSETTIA AVE",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666644",
            "telephone_number": "925-324-8630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Rosecrans Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Manhattan Beach",
            "state": "CA",
            "postal_code": "902663771",
            "country_code": "US",
            "telephone_number": "925-324-8630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURD",
        "first_name": "JULIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "STUDENT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.