MR. YOUNG KWANG JU LMFT
NPI 1164741682
Marriage & Family Therapist in Bellevue, WA

Active since May 24, 2010Opted out of Medicare · through Apr 16, 2028
375 118TH AVE SE STE 204, BELLEVUE, WA 98005(858) 863-6311 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Young Kwang Ju Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. YOUNG KWANG JU LMFT (NPI 1164741682) is an individual marriage & family therapist in Bellevue, Washington, licensed in Washington (LF61619910) and active in the NPI registry since May 2010. He has opted out of Medicare through April 16, 2028.

NPPES Registry Identity

NPI1164741682
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. YOUNG KWANG JUCredential: LMFT
Location Address375 118TH AVE SE STE 204Bellevue, WA 98005-3525
Mailing Address375 118th Ave Se Ste 204Bellevue, WA 98005-3525 · (858) 863-6311
Sole ProprietorNo
Enumeration DateMay 24, 2010
Last NPPES UpdateOctober 8, 2025
NPPES CertifiedOctober 8, 2025
NPI 1164741682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in WA · LF61619910
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
375 118TH AVE SE STE 204, Bellevue, WA 98005

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mr. Young Kwang Ju Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 16, 2024 through April 16, 2028.

Opt-Out Effective DateApril 16, 2024
Opt-Out In Effect ThroughApril 16, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Mental Health (Including Community Mental Health Center))
375 118TH AVE SE STE 204
BELLEVUE, WA 98005
Psychologist (Clinical)
375 118TH AVE SE STE 204
BELLEVUE, WA 98005
Marriage & Family Therapist
375 118TH AVE SE STE 204
BELLEVUE, WA 98005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Young Ju's NPI number?

The NPI number for Young Ju is 1164741682. It was assigned to this individual provider in the NPPES registry on May 24, 2010.

Where is Young Ju located?

Young Ju practices at 375 118th Ave SE Ste 204, Bellevue, WA 98005. The listed phone number is (858) 863-6311.

What is Young Ju's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Young Ju enrolled in Medicare?

No. Young Ju has opted out of Medicare through April 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Young Ju accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Young Ju as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Young Ju was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.