JULIE ANN IDETA - NPI 1699555318 - Marriage & Family Therapist in Oceanside, CA

Q: What is Julie Ideta's NPI number?

The NPI number for Julie Ideta is 1699555318. It was assigned to this individual provider in the NPPES registry on October 2, 2023. The provider is also known as Julie Ann Hodge.

Q: What is Julie Ideta'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 Julie Ideta was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

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About Julie Ann Ideta NPPES

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

JULIE ANN IDETA (NPI 1699555318) is an individual marriage & family therapist in Oceanside, California and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1699555318

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJULIE ANN IDETA

Location Address2204 S EL CAMINO REAL STE 315Oceanside, CA 92054-6390

Mailing Address36368 Gambrel Gate CtWinchester, CA 92596-8680 · (951) 525-9304

Phone(760) 500-3325

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 2, 2023

NPPES CertifiedSeptember 30, 2023

✔ NPI 1699555318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

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.

2204 S EL CAMINO REAL STE 315, Oceanside, CA 92054

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Other Names 1

Former Name (1)Julie Ann Hodge

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Julie Ann Ideta is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486137460

PECOS Enrollment IDI20260309003509

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 12

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

MICHELLE RONCEVIC LPCC

Counselor (Mental Health)