Individual provider Active NPI

Julie Ellen Williams, LMFT

  • Marriage & Family Therapist
  • La Mesa, CA
National Provider Identifier
1669922795
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
128107 Issued in CA
Practice address
7918 El Cajon Blvd Ste N424
La Mesa, CA 91942-6719
Phone
(619) 859-5080
NPI assigned
Oct 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT104268 CA
Marriage & Family Therapist 106H00000X
Marriage & Family Therapist 106H00000X 128107 CA Primary

Addresses

Primary practice location

7918 El Cajon Blvd Ste N424
La Mesa, CA 91942-6719

Mailing address

7918 El Cajon Blvd Ste N424
La Mesa, CA 91942-6719
Phone (619) 859-5080

Other practice location 1

5555 Reservoir Dr Ste 309
San Diego, CA 92120-5193
Phone (888) 588-8995

Other practice location 2

2420 Martin Rd Ste 200
Fairfield, CA 94534-8610
Phone (707) 399-4520

Other practice location 3

2501 Harrison St
Oakland, CA 94612-3811
Phone (510) 444-3344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 9, 2024 through Feb 9, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
128107CAMDMarriage & Family Therapist
AMFT104268CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
John F. Kennedy University Marriage & Family Therapist Past Accepting new patients
Oakland Counseling Center PastSince Nov 24, 2019 Accepting new patients
Pacific Clinics Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1669922795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7918 EL CAJON BLVD STE N424",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919426719",
            "telephone_number": "619-859-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7918 EL CAJON BLVD STE N424",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919426719",
            "telephone_number": "619-859-5080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5555 Reservoir Dr Ste 309",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921205193",
            "country_code": "US",
            "telephone_number": "888-588-8995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2420 Martin Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945348610",
            "country_code": "US",
            "telephone_number": "707-399-4520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 Harrison St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946123811",
            "country_code": "US",
            "telephone_number": "510-444-3344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JULIE",
        "middle_name": "ELLEN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT104268",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "128107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.