Active NPI
Julie Mancia Fortune, M.S.
- Marriage & Family Therapist
- Fullerton, CA
National Provider Identifier
1376685974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 48831
- Practice address
- 1835 Sunny Crest Dr
Fullerton, CA 92835 - Phone
- (714) 446-5101
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1227 | TN | |
| Marriage & Family Therapist | 106H00000X | MFC 48831 | CA | Primary |
Addresses
Primary practice location
1835 Sunny Crest Dr
Fullerton, CA 92835
Mailing address
2120 Belcourt Ave
Nashville, TN 37212-3504
Phone (615) 936-0336
Other practice location 1
2120 Belcourt Ave
Nashville, TN 37212-3504
Phone (615) 936-0336
Other names 1
- Ms. Julie Mancia
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
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 48831 | CA | MD | Marriage & Family Therapist |
| 1227 | TN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531958400000",
"number": "1376685974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 BELCOURT AVE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372123504",
"telephone_number": "615-936-0336",
"fax_number": "615-936-0352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1835 SUNNY CREST DR",
"city": "FULLERTON",
"state": "CA",
"postal_code": "92835",
"telephone_number": "714-446-5101"
}
],
"practiceLocations": [
{
"address_1": "2120 Belcourt Ave",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372123504",
"country_code": "US",
"telephone_number": "615-936-0336",
"fax_number": "615-936-0352",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORTUNE",
"first_name": "JULIE",
"middle_name": "MANCIA",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2018-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TN",
"license": "1227",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 48831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "MANCIA",
"prefix": "MS.",
"credential": "M.S.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.