Individual provider Active NPI

Julia Martinez Mikhail, M.ED.

  • Mental Health Counselor
  • Pleasanton, CA
National Provider Identifier
1467702928
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3586 Issued in CA
Practice address
5424 Sunol Blvd Ste 10-427
Pleasanton, CA 94566-7705
Phone
(925) 232-1041
NPI assigned
Sep 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PCCI588 CA
Mental Health Counselor 101YM0800X 3586 CA Primary

Addresses

Primary practice location

5424 Sunol Blvd Ste 10-427
Pleasanton, CA 94566-7705

Mailing address

5424 Sunol Blvd
Pleasanton, CA 94566-7705
Phone (925) 232-1041

Other names 1

  • Julia Alexandra Martinez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
PCCI588CAMDMental Health Counselor
3586CAMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1467702928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 SUNOL BLVD",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667705",
            "telephone_number": "925-232-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 SUNOL BLVD STE 10-427",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667705",
            "telephone_number": "925-232-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKHAIL",
        "first_name": "JULIA",
        "middle_name": "MARTINEZ",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "PCCI588",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "3586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "MARTINEZ",
            "middle_name": "ALEXANDRA",
            "credential": "M.ED.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.