Individual provider Active NPI

Chen Yu Liu

  • Marriage & Family Therapist
  • Walnut, CA
National Provider Identifier
1982080313
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT41483 Issued in CA
Practice address
648 N Pacer CT
Walnut, CA 91789-1470
Phone
(909) 859-5192
NPI assigned
Aug 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2024

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 LMFT41483 CA Primary

Addresses

Primary practice location

648 N Pacer CT
Walnut, CA 91789-1470

Mailing address

648 N Pacer CT
Walnut, CA 91789-1470
Phone (909) 859-5192

Other names 1

  • Chen Yu Liu Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20241023001330 CA Practitioner - Marriage and Family Therapist 9739612284 Practice locations: Walnut, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT41483CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1982080313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 N PACER CT",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917891470",
            "telephone_number": "909-859-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 N PACER CT",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917891470",
            "telephone_number": "909-859-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "CHEN YU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-07",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT41483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHEN YU",
            "last_name": "LIU",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Walnut, CA

Sources for this page

Verify at the official NPI Registry.