Individual provider Active NPI

Alicia Fu, CSAC,MSCP,LMHC,CCMHC

  • Mental Health Counselor
  • Pearl City, HI
National Provider Identifier
1487200374
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
950 Kamehameha Hwy Unit 962
Pearl City, HI 96782-5042
Phone
(808) 494-1528
Fax
(808) 210-6095
NPI assigned
Aug 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Counseling Psychologist 103TC1900X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

950 Kamehameha Hwy Unit 962
Pearl City, HI 96782-5042

Mailing address

PO Box 962
Pearl City, HI 96782-0962
Phone (808) 392-3330

Other practice location 1

91-2128 Old Ft Weaver Rd
Ewa Beach, HI 96706-1911
Phone (808) 392-3330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Resilient Life Organzation CurrentSince Jan 12, 2025 Accepting new patients
Resilience Through Choice LLC CurrentSince Oct 1, 2019 Accepting new patients
The Resilient Life Organzation Mental Health CurrentSince Apr 21, 2024 Accepting new patients

Locations

950 Kamehameha Hwy
Unit 962
Pearl City, HI 96782
Phone (808) 494-1528

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1487200374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 962",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967820962",
            "telephone_number": "808-392-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 KAMEHAMEHA HWY UNIT 962",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967825042",
            "telephone_number": "808-494-1528",
            "fax_number": "808-210-6095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "91-2128 Old Ft Weaver Rd",
            "address_purpose": "LOCATION",
            "city": "Ewa Beach",
            "state": "HI",
            "postal_code": "967061911",
            "country_code": "US",
            "telephone_number": "808-392-3330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FU",
        "first_name": "ALICIA",
        "name_prefix": "Miss",
        "credential": "CSAC,MSCP,LMHC,CCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl City, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.