Active NPI
Becky Ann Fukuda, M.F.T.
- Mental Health Counselor
- Union City, CA
National Provider Identifier
1861643744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MFC 41285
- Practice address
- 3553 Whipple Rd
Union City, CA 94587-1507 - Phone
- (510) 454-1000
- Fax
- (510) 865-7485
- NPI assigned
- Oct 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFC 41285 | CA | Primary |
Addresses
Primary practice location
3553 Whipple Rd
Union City, CA 94587-1507
Mailing address
3553 Whipple Rd
Union City, CA 94587-1507
Phone (510) 454-1000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 41285 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432252800000",
"number": "1861643744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3553 WHIPPLE RD",
"city": "UNION CITY",
"state": "CA",
"postal_code": "945871507",
"telephone_number": "510-454-1000",
"fax_number": "510-865-7485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3553 WHIPPLE RD",
"city": "UNION CITY",
"state": "CA",
"postal_code": "945871507",
"telephone_number": "510-454-1000",
"fax_number": "510-865-7485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUKUDA",
"first_name": "BECKY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "M.F.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-09",
"last_updated": "2015-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MFC 41285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.