Active NPI
Julia M Fukumoto, LMFT
- Marriage & Family Therapist
- Honolulu, HI
National Provider Identifier
1013760057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT-903
- Practice address
- 609 N Judd St Apt B
Honolulu, HI 96817-2273 - Phone
- (808) 381-8303
- NPI assigned
- Apr 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT-903 | HI | Primary |
Addresses
Primary practice location
609 N Judd St Apt B
Honolulu, HI 96817-2273
Mailing address
609 N Judd St Apt B
Honolulu, HI 96817-2273
Phone (808) 381-8303
Other names 1
- Julia M Duncan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
99 -149 Moanalua Rd
Suite 201
Aiea, HI 96701-4001
99 -149 Moanalua Rd
Suite 201
Aiea, HI 96701-5605
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT-903 | HI | MD | Marriage & Family Therapist |
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 and National Provider Directory roles.
-
- Marriage & Family Therapist
- Aiea, HI
- NPI 1659974400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1013760057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 N JUDD ST APT B",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968172273",
"telephone_number": "808-381-8303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 N JUDD ST APT B",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968172273",
"telephone_number": "808-381-8303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUKUMOTO",
"first_name": "JULIA",
"middle_name": "M",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-09",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "HI",
"license": "MFT-903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIA",
"last_name": "DUNCAN",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.