Individual provider Active NPI

Julie Sr Segawa, LMFT

  • Marriage & Family Therapist
  • Honolulu, HI
National Provider Identifier
1972788131
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
172 Issued in HI
Practice address
1374 Nuuanu Ave
Honolulu, HI 96817-4032
Phone
(808) 547-4401
NPI assigned
Jan 7, 2008
Last updated
Mar 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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 172 HI Primary

Addresses

Primary practice location

1374 Nuuanu Ave
Honolulu, HI 96817-4032

Mailing address

1374 Nuuanu Ave
Honolulu, HI 96817-4032
Phone (808) 547-4401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250210003439 HI Practitioner - Marriage and Family Therapist 5092245753 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
172HIMDAmbulatory Women's Health Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Queens Medical Center CurrentSince Jan 1, 2025 Accepting new patients
The Queen's Medical Center CurrentSince Jan 1, 2025 Accepting new patients

Locations

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1374 Nuuanu Ave
Honolulu, HI 96817
Phone (808) 547-4908

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1972788131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1374 NUUANU AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174032",
            "telephone_number": "808-547-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1374 NUUANU AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174032",
            "telephone_number": "808-547-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGAWA",
        "first_name": "JULIE",
        "middle_name": "SR",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.