Individual provider Active NPI

Anthony Qi Rui Liu, LMFT

  • Marriage & Family Therapist
  • Berkeley, CA
National Provider Identifier
1508058199
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT81072 Issued in CA
Practice address
917 The Alameda
Suite #4
Berkeley, CA 94707-2301
Phone
(925) 272-9638
NPI assigned
Aug 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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 MFT81072 CA Primary

Addresses

Primary practice location

917 The Alameda
Suite #4
Berkeley, CA 94707-2301

Mailing address

917 The Alameda
Suite #4
Berkeley, CA 94707-2301
Phone (925) 272-9638

Other names 1

  • Mr. Qi Rui Anthony Liu Former name

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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
81072CAMDClinical Social Worker
MFT81072CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1508058199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 THE ALAMEDA",
            "address_2": "SUITE #4",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947072301",
            "telephone_number": "925-272-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 THE ALAMEDA",
            "address_2": "SUITE #4",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947072301",
            "telephone_number": "925-272-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "ANTHONY",
        "middle_name": "QI RUI",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-16",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT81072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "QI RUI",
            "last_name": "LIU",
            "middle_name": "ANTHONY",
            "prefix": "MR.",
            "credential": "CSAT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.