Shu Fu, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

208000715 Issued in IL

Practice address

1800 3Rd Ave Ste 512
Rock Island, IL 61201-8019

Phone

(309) 786-4491

NPI assigned

Mar 23, 2021

Last updated

Mar 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marriage and Family Counseling Service of R I Co

  • Marriage & Family Therapist
  • Rock Island, IL
  • NPI 1629292693
  NPD

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1235715988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 MICHIGAN ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875618",
            "telephone_number": "414-688-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 3RD AVE STE 512",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612018019",
            "telephone_number": "309-786-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FU",
        "first_name": "SHU",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "208000715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Friederich, MD
• Friendship Manor, Inc.
• Katelin Ann Froelich
• Mary Elizabeth Frost, DC
• Shannon Danielle Fry, APRN
• Jenesca Fuhrman
• Haley Gabelmann, MHP, B.S.
• Andrea Gaeta
• Elizabeth Kay Galbraith, LCSW
• Jessica Galvin, LMSW

• Marriage & Family Therapist in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.