JULIE ANDERSON
NPI 1407568769
Marriage & Family Therapist in Santa Monica, CA

Active since December 19, 2022Opted out of Medicare · through Nov 18, 2026
2641 4TH ST APT 1, SANTA MONICA, CA 90405(917) 951-9767 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Julie Anderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JULIE ANDERSON (NPI 1407568769) is an individual marriage & family therapist in Santa Monica, California, licensed in California (136580) and active in the NPI registry since December 2022. She has opted out of Medicare through November 18, 2026 and maintains a secondary practice location in San Jose.

NPPES Registry Identity

NPI1407568769
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJULIE ANDERSON
Location Address2641 4TH ST APT 1Santa Monica, CA 90405-4248
Mailing AddressPo Box 5047Santa Monica, CA 90409-5047 · (917) 951-9767
Sole ProprietorNo
Enumeration DateDecember 19, 2022
NPPES CertifiedDecember 19, 2022
NPI 1407568769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · 136580
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

2641 4TH ST APT 1, Santa Monica, CA 90405

Secondary Practice Location 1

Location 13880 S Bascom Ave Ste 216San Jose, CA 95124-2675 · Phone (424) 645-1616

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Julie Anderson has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 18, 2024 through November 18, 2026.

Opt-Out Effective DateNovember 18, 2024
Opt-Out In Effect ThroughNovember 18, 2026Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407568769, enumerated as an "individual" on December 19, 2022.

The provider is located at 2641 4TH ST APT 1 SANTA MONICA, CA 90405 and the phone number is (917) 951-9767.

Marriage & Family Therapist with taxonomy code 106H00000X.