Active NPI
Julia Alice Davis, LMFT
- Marriage & Family Therapist
- Washington, MI
National Provider Identifier
1306181292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4101006762
- Practice address
- 64155 Van Dyke Rd # 213
Washington, MI 48095-2580 - Phone
- (949) 357-0255
- NPI assigned
- Dec 3, 2012
- Last updated
- Mar 10, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LF61297592 | WA | |
| Marriage & Family Therapist | 106H00000X | 91207 | CA | |
| Marriage & Family Therapist | 106H00000X | MT5076 | FL | |
| Marriage & Family Therapist | 106H00000X | 4101006762 | MI | Primary |
Addresses
Primary practice location
64155 Van Dyke Rd # 213
Washington, MI 48095-2580
Mailing address
64155 Van Dyke Rd # 213
Washington, MI 48095-2580
Phone (949) 357-0255
Other names 1
- Ms. Julia Mobassaleh
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
| License | State | Type | Specialty |
|---|---|---|---|
| 91207 | CA | MD | Marriage & Family Therapist |
| MT5076 | FL | MD | Marriage & Family Therapist |
| 4101006762 | MI | MD | Marriage & Family Therapist |
| LF61297592 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773100800000",
"number": "1306181292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64155 VAN DYKE RD # 213",
"city": "WASHINGTON",
"state": "MI",
"postal_code": "480952580",
"telephone_number": "949-357-0255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64155 VAN DYKE RD # 213",
"city": "WASHINGTON",
"state": "MI",
"postal_code": "480952580",
"telephone_number": "949-357-0255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JULIA",
"middle_name": "ALICE",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-03",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF61297592",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "91207",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT5076",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MI",
"license": "4101006762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIA",
"last_name": "MOBASSALEH",
"prefix": "MS.",
"credential": "LMFT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Washington, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.