Individual provider Active NPI

Julie Rose Rabbani, MFT

  • Mental Health Counselor
  • Fresno, CA
National Provider Identifier
1912764333
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
AMFT145356 Issued in CA
Practice address
2547 W Shaw Ave Ste 117
Fresno, CA 93711-3321
Phone
(559) 412-7799
NPI assigned
Mar 1, 2024
Last updated
Mar 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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 AMFT145356 CA Primary

Addresses

Primary practice location

2547 W Shaw Ave Ste 117
Fresno, CA 93711-3321

Mailing address

26895 Aliso Creek Rd Ste B
Aliso Viejo, CA 92656-5302
Phone (310) 467-0972

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://pm.officeally.com Other

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

LicenseStateTypeSpecialty
AMFT145356CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Blair Marriage and Family Therapy, Inc. PastSince Mar 3, 2024 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1912764333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26895 ALISO CREEK RD STE B",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565302",
            "telephone_number": "310-467-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2547 W SHAW AVE STE 117",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113321",
            "telephone_number": "559-412-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABBANI",
        "first_name": "JULIE",
        "middle_name": "ROSE",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "AMFT145356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://pm.officeally.com",
            "affiliation": "N",
            "endpointDescription": "Office Ally Electronic Health Record System",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "2547 W Shaw Ave Ste 117",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937113321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.