Active NPI
Julie C. Ford, MFT
- Marriage & Family Therapist
- Milwaukee, WI
National Provider Identifier
1447407838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 912-124
- Practice address
- 1110 N Old World 3Rd St
Suite 410
Milwaukee, WI 53203-1100 - Phone
- (262) 221-3971
- NPI assigned
- Aug 27, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 33456 | CA | |
| Marriage & Family Therapist | 106H00000X | 912-124 | WI | Primary |
Addresses
Primary practice location
1110 N Old World 3Rd St
Suite 410
Milwaukee, WI 53203-1100
Mailing address
1110 N Old World 3Rd St
Suite 410
Milwaukee, WI 53203-1100
Phone (262) 221-3971
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 20, 2025 through May 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 912-124 | WI | MD | Marriage & Family Therapist |
| 33456 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349740800000",
"number": "1447407838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 N OLD WORLD 3RD ST",
"address_2": "SUITE 410",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532031100",
"telephone_number": "262-221-3971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 N OLD WORLD 3RD ST",
"address_2": "SUITE 410",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532031100",
"telephone_number": "262-221-3971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "JULIE",
"middle_name": "C.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-27",
"last_updated": "2012-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "33456",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WI",
"license": "912-124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.