Individual provider Active NPI

Julie Liukkonen, M.S., MFT

  • Marriage & Family Therapist
  • Chico, CA
National Provider Identifier
1205056694
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC39931 Issued in CA
Practice address
568 Manzanita Ave
Suite 4
Chico, CA 95926-1361
Phone
(530) 898-8228
Fax
(530) 898-8228
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC39931 CA Primary

Addresses

Primary practice location

568 Manzanita Ave
Suite 4
Chico, CA 95926-1361

Mailing address

568 Manzanita Ave
Suite 4
Chico, CA 95926-1361
Phone (530) 898-8228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 31, 2025 through Jan 31, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MFC39931CAMDMarriage & Family Therapist
39931CAMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205056694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 MANZANITA AVE",
            "address_2": "SUITE 4",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261361",
            "telephone_number": "530-898-8228",
            "fax_number": "530-898-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 MANZANITA AVE",
            "address_2": "SUITE 4",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261361",
            "telephone_number": "530-898-8228",
            "fax_number": "530-898-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIUKKONEN",
        "first_name": "JULIE",
        "name_prefix": "Ms.",
        "credential": "M.S., MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC39931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.