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

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: October 25, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Julia Tisdale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Moona Medical Group Of California PC
31 mi
Mental Health
505 MONTGOMERY STREET, 10TH FLOOR
San Francisco, CA 94111
  • Reassigned Medicare billing, California enrollment
  • 52 clinicians in this Medicare group
NPI 1023824836 (503) 427-8095

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
42875 GATEWOOD ST
FREMONT, CA 94538
Alameda County (510) 626-6438
MISS LAURA MARIE RICCI BA
Counselor
42875 GATEWOOD ST
FREMONT, CA 94538
Alameda County (510) 656-2833
DANNA HUANG NG PPS
Counselor (School)
42875 GATEWOOD ST
FREMONT, CA 94538
Alameda County (510) 656-6438
SENECA RESIDENTIAL AND DAY TREATMENT CENTER FOR CHILDREN
Community/Behavioral Health
42875 GATEWOOD ST
FREMONT, CA 94538
Alameda County (510) 656-6438
MR. CHRISTOPHER FENAROLI MFT INTERN
Marriage & Family Therapist
42875 GATEWOOD ST
FREMONT, CA 94538
Alameda County (510) 657-0700
JOANNE CLARE LORDA
Student in an Organized Health Care Education/Training Program
42875 GATEWOOD ST
FREMONT, CA 94538
Alameda County (510) 657-0700
MRS. SANDHYA GUPTA
Marriage & Family Therapist
42875 GATEWOOD ST
FREMONT, CA 94538
Alameda County (510) 656-6438
MARY HOA NGUYEN RN, BSN
Registered Nurse (School)
42875 GATEWOOD ST
FREMONT, CA 94538
Alameda County (510) 656-6438

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Julia Tisdale located?

Julia Tisdale practices at 42875 Gatewood St, Fremont, CA 94538. The listed phone number is (510) 656-6438.

What is Julia Tisdale's specialty?

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

Is Julia Tisdale enrolled in Medicare?

Yes. Julia Tisdale is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Julia Tisdale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julia Tisdale reassigns Medicare benefits to Moona Medical Group Of California PC (San Francisco, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Julia Tisdale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.