Individual provider Active NPI

Julie Orlov, MSW, MAOL

  • Mental Health Counselor
  • Idyllwild, CA
National Provider Identifier
1811928070
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCS14902 Issued in CA
Practice address
54240 Ridgeview Dr
Suite 202
Idyllwild, CA 92549
Phone
(310) 379-5855
Fax
(951) 527-0023
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCS14902 CA Primary

Addresses

Primary practice location

54240 Ridgeview Dr
Suite 202
Idyllwild, CA 92549

Mailing address

PO Box 312
Idyllwild, CA 92549-0312
Phone (310) 379-5855

Other practice location 1

2200 Pacific Coast Hwy Ste 218
Hermosa Beach, CA 90254-2701
Phone (310) 379-5855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160815001580 CA Practitioner - Clinical Social Worker 9436443421 Practice locations: Idyllwild, CA; Hermosa Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2200 Pacific Coast Hwy
Suite 218
Hermosa Beach, CA 90254-2701
Phone (310) 379-5855

54240 Ridgeview Dr
Suite 202
Idyllwild, CA 92549
Phone (310) 379-5855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS14902CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1811928070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 312",
            "city": "IDYLLWILD",
            "state": "CA",
            "postal_code": "925490312",
            "telephone_number": "310-379-5855",
            "fax_number": "951-527-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54240 RIDGEVIEW DR",
            "address_2": "SUITE 202",
            "city": "IDYLLWILD",
            "state": "CA",
            "postal_code": "92549",
            "telephone_number": "310-379-5855",
            "fax_number": "951-527-0023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Pacific Coast Hwy Ste 218",
            "address_purpose": "LOCATION",
            "city": "Hermosa Beach",
            "state": "CA",
            "postal_code": "902542701",
            "country_code": "US",
            "telephone_number": "310-379-5855",
            "fax_number": "951-527-0023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORLOV",
        "first_name": "JULIE",
        "name_prefix": "Ms.",
        "credential": "MSW, MAOL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS14902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idyllwild, CA

Sources for this page

Verify at the official NPI Registry.