Active NPI
Julie Ann Goode, LMFT
- Student in an Organized Health Care Education/Training Program
- Newport Beach, CA
National Provider Identifier
1467828871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 23 Corporate Plaza Dr Ste 150
Newport Beach, CA 92660-7908 - Phone
- (562) 209-1837
- NPI assigned
- Aug 19, 2015
- 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 | 107649 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
23 Corporate Plaza Dr Ste 150
Newport Beach, CA 92660-7908
Mailing address
23 Corporate Plaza Dr Ste 150
Newport Beach, CA 92660-7908
Phone (562) 209-1837
Other practice location 1
5182 Katella Ave Ste 206
Los Alamitos, CA 90720-2858
Phone (562) 209-1837
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106H00000X | Medicaid | CA |
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 |
|---|---|---|---|
| 107649 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623974400000",
"number": "1467828871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 CORPORATE PLAZA DR STE 150",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926607908",
"telephone_number": "562-209-1837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 CORPORATE PLAZA DR STE 150",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926607908",
"telephone_number": "562-209-1837"
}
],
"practiceLocations": [
{
"address_1": "5182 Katella Ave Ste 206",
"address_purpose": "LOCATION",
"city": "Los Alamitos",
"state": "CA",
"postal_code": "907202858",
"country_code": "US",
"telephone_number": "562-209-1837",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODE",
"first_name": "JULIE",
"middle_name": "ANN",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-19",
"last_updated": "2021-06-18",
"certification_date": "2021-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "107649",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106H00000X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.