Tomoko Kunita, LMFT
Individual provider Active NPI Marriage & Family Therapist · Colchester, VT
NPI 1508970146 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1508970146
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 38269 (CA)
- Practice address
- 245 S Park Dr
#2
Colchester, VT 05446-5972 - Phone
- (802) 264-5333
- Fax
- (802) 264-5338
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240225000073 | CA | Practitioner - Marriage and Family Therapist | 4486099967 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180-003955 | IL | MD | Professional Counselor |
| 100-0000037 | VT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Current |
Accepting new patients | |
| Permanente Medical Group, Inc | Current |
Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Counseling Connection Training Institute, PLC | Past | Accepting new patients |
Locations
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
501 J St
Sacramento, CA 95814
Phone (916) 497-3000
4141 Geary Blvd
San Francisco, CA 94118
Phone (415) 833-2292
939 Ellis St
San Francisco, CA 94109
Phone (415) 823-4524
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 100-0000037 | VT | |
| Marriage & Family Therapist | 106H00000X | 38269 | CA | Yes |
| Professional Counselor | 101YP2500X | IL |
Addresses
Primary practice location
245 S Park Dr
#2
Colchester, VT 05446-5972
Mailing address
5 Sandalwood Dr
South Burlington, VT 05403-7828
Phone (802) 264-5333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1009316 | Medicaid | VT |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
Other providers in Colchester, VT
- Steven J Knight
- Chelsey Ann Koktavy
- Amanda E Kolb
- Lisa Ann Koval
- Thomas Kristiansen
- Jennifer I L'Ecuyer
- Lake Superior Nurse Anesthesia
- Michael Andrew Lamantia
- Nicholas Randle Lamothe
- Tori Duchesneau Lamphere
All providers in Colchester, VT · Marriage & Family Therapist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.