Individual provider Active NPI

Jhuliet Mikael Proulx

  • Marriage & Family Therapist
  • Glendale, CA
National Provider Identifier
1376221523
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
137910 Issued in CA
Practice address
327 Arden Ave Suite 201
Glendale, CA 91203
Phone
(818) 925-2410
Fax
(818) 925-2411
NPI assigned
Jul 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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 137910 CA Primary

Addresses

Primary practice location

327 Arden Ave Suite 201
Glendale, CA 91203

Mailing address

1146 N Central Ave Ste 621
Glendale, CA 91202-2506
Phone (818) 925-2410

Other names 1

  • Jhuliet Mikaelian Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20260603002621 CA Practitioner - Marriage and Family Therapist 5092286781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

288 W 9TH St
Upland, CA 91786-5949

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
137910CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Heyday Family Counseling Services Apc Inc Marriage & Family Therapist CurrentSince Jan 15, 2024 Accepting new patients

Locations

1146 N Central Ave
Glendale, CA 91202
Phone (818) 925-2410

327 Arden Ave
Ste 201
Glendale, CA 91203
Phone (818) 649-1475

Organizations & group practices 2

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": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1376221523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 N CENTRAL AVE STE 621",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022506",
            "telephone_number": "818-925-2410",
            "fax_number": "818-925-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 ARDEN AVE SUITE 201",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91203",
            "telephone_number": "818-925-2410",
            "fax_number": "818-925-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROULX",
        "first_name": "JHULIET",
        "middle_name": "MIKAEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "137910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JHULIET",
            "last_name": "MIKAELIAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.