Active NPI
Young Kwang Ju, LMFT
- Marriage & Family Therapist
- Bellevue, WA
National Provider Identifier
1164741682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF61619910
- Practice address
- 375 118TH Ave SE Ste 204
Bellevue, WA 98005-3525 - Phone
- (858) 863-6311
- NPI assigned
- May 24, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | LF61619910 | WA | Primary |
Addresses
Primary practice location
375 118TH Ave SE Ste 204
Bellevue, WA 98005-3525
Mailing address
375 118TH Ave SE Ste 204
Bellevue, WA 98005-3525
Phone (858) 863-6311
Other practice location 1
1202 Morena Blvd Ste 203
San Diego, CA 92110-3843
Phone (619) 398-3261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 16, 2024 through Apr 16, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LF61619910 | WA | MD | Marriage & Family Therapist |
| 88568 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Young Ju Counseling PLLC | Marriage & Family Therapist | Current | Accepting new patients |
Locations
375 118th Ave SE
Ste 204
Bellevue, WA 98005
Phone (206) 317-4388
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
- Bellevue, WA
- NPI 1568277325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1164741682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 118TH AVE SE STE 204",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980053525",
"telephone_number": "858-863-6311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 118TH AVE SE STE 204",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980053525",
"telephone_number": "858-863-6311"
}
],
"practiceLocations": [
{
"address_1": "1202 Morena Blvd Ste 203",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921103843",
"country_code": "US",
"telephone_number": "619-398-3261",
"fax_number": "619-275-2023",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JU",
"first_name": "YOUNG",
"middle_name": "KWANG",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-24",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF61619910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.