JULIA TISDALE LMFT
NPI 1598046708
Marriage & Family Therapist in Fremont, CA

Q: What is Julia Tisdale's NPI number?

The NPI number for Julia Tisdale is 1598046708. It was assigned to this individual provider in the NPPES registry on September 1, 2011.

Q: What is Julia Tisdale's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Julia Tisdale was last updated on March 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 01, 2011PECOS EnrolledAccepts Medicare Assignment

42875 GATEWOOD ST, FREMONT, CA 94538(510) 656-6438 Get Directions Write a Review

NPPES record last updated: March 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Julia Tisdale Lmft NPPES

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

JULIA TISDALE LMFT (NPI 1598046708) is an individual marriage & family therapist in Fremont, California, licensed in California (109508) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1598046708

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJULIA TISDALECredential: LMFT

Location Address42875 GATEWOOD STFremont, CA 94538-4131

Mailing Address6221 Geary Blvd # UsSan Francisco, CA 94121-1887 · (650) 269-9050

Phone(510) 656-6438

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateSeptember 1, 2011

Last NPPES UpdateMarch 13, 2019

✔ NPI 1598046708 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 · 109508

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.

42875 GATEWOOD ST, Fremont, CA 94538

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Julia Tisdale Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294233268

PECOS Enrollment IDI20250808002495

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOAN HOANG

Counselor