Active NPI
Julie Kathleen Martin, LMFT
- Mental Health Counselor
- San Juan Capistrano, CA
National Provider Identifier
1790328748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 32382 Del Obispo St Ste B3
San Juan Capistrano, CA 92675-4029 - Phone
- (949) 415-6495
- NPI assigned
- Oct 22, 2019
- Last updated
- Oct 22, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
32382 Del Obispo St Ste B3
San Juan Capistrano, CA 92675-4029
Mailing address
33 Antigua
Dana Point, CA 92629-4103
Phone (562) 900-5173
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571702400000",
"number": "1790328748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 ANTIGUA",
"city": "DANA POINT",
"state": "CA",
"postal_code": "926294103",
"telephone_number": "562-900-5173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32382 DEL OBISPO ST STE B3",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926754029",
"telephone_number": "949-415-6495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JULIE",
"middle_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-22",
"last_updated": "2019-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan Capistrano, CA
- Mark Stephen Sutton, MD AMC
- Marriage & Family Therapy of Mind-Body Wellness, Inc.
- Marriage Made Better Relationship Counseling
- Arlene Forero Marten, RN
- Martin Orthopedic Rehabilitation Physical Therapy Inc.
- Maria Teresa Martin, LICENSED MFT
- Selina Martinez
- Christopher T Martus
- Kathleen Mary Mates-Youngman, M.A.
- Jessica Mathon, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.