Julia Renee Vickers, MA, ALMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT-824-0 Issued in HI

Practice address

49 Ululani St
Kula, HI 96790-8930

Phone

(801) 675-8082

NPI assigned

Oct 13, 2018

Sex

Female

Sole proprietor

No

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.

• Evergreen Counseling LLC

  • Mental Health Counselor
  • Wheaton, IL
  • NPI 1831681600
  NPD (past) Marriage & Family Therapist

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 20, 2023.

{
    "created_epoch": "1539388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1043785371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 ULULANI ST",
            "city": "KULA",
            "state": "HI",
            "postal_code": "967908930",
            "telephone_number": "801-675-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 ULULANI ST",
            "city": "KULA",
            "state": "HI",
            "postal_code": "967908930",
            "telephone_number": "801-675-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERS",
        "first_name": "JULIA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MA, ALMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-13",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.001569",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "208.000643",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "MFT-824-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice C Svoboda, MD
• Casey Terry, RBT
• Rochelle Terry, R.N.
• Jenna Valentine, DPT
• Kimberly Miklas Vant Groenewout, LMT
• Laura Vo, LICSW
• Elizabeth Ann Wagner, DPT
• Ronald Edward Wallach, DMD
• Aleksandra Wasiutynski
• Johanna Waters

• All providers in Kula, HI
• Marriage & Family Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.