Individual provider Active NPI

Julie Anne Placencia, M.S.

  • Marriage & Family Therapist
  • Burbank, CA
National Provider Identifier
1124226246
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
48888 Issued in CA
Practice address
601 S Glenoaks Blvd
Burbank, CA 91502-1474
Phone
(818) 625-6407
Fax
(818) 441-0014
NPI assigned
Jul 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF 51545 CA
Marriage & Family Therapist 106H00000X 48888 CA Primary

Addresses

Primary practice location

601 S Glenoaks Blvd
Burbank, CA 91502-1474

Mailing address

601 S Glenoaks Blvd
Burbank, CA 91502-1474
Phone (818) 625-6407

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
48888CAMDMarriage & Family Therapist
IMF 51545CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1124226246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S GLENOAKS BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021474",
            "telephone_number": "818-625-6407",
            "fax_number": "818-441-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S GLENOAKS BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021474",
            "telephone_number": "818-625-6407",
            "fax_number": "818-441-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLACENCIA",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 51545",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.