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JERRY FUNGWA SHU
NPI 1275414476
Counselor - Mental Health in University Place, WA

Active since September 12, 2025
2901 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466(253) 534-7000 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerry Fungwa Shu NPPES

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

JERRY FUNGWA SHU (NPI 1275414476) is an individual mental health provider in University Place, Washington, licensed in Washington (LP61248864) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1275414476
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJERRY FUNGWA SHU
Location Address2901 BRIDGEPORT WAY WUniversity Place, WA 98466-4614
Mailing Address18230 70th Avenue Ct EPuyallup, WA 98375-1835 · (484) 633-2364
Phone(253) 534-7000
Sole ProprietorYes
Enumeration DateSeptember 12, 2025
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedSeptember 12, 2025
✔ NPI 1275414476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LP61248864
2901 BRIDGEPORT WAY W, University Place, WA 98466
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

AGNES M.F. HUI-BURDSALL
Occupational Therapist
2901 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 381-6656
CHRISTINE COFER MD
Internal Medicine (Hospice and Palliative Medicine)
2901 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 534-7000
DR. FRANSJE JEREONTJE SLOTHOUBER GILES DNP, NP-C
Nurse Practitioner (Family)
2901 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 534-7000
PERLO DOMENDEN
Physical Therapy Assistant
2901 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 534-7623
MRS. CHERYL RENEE WRIGHT PTA
Physical Medicine & Rehabilitation
2901 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 534-7623
CHANTEL YUONG
Nurse Practitioner (Gerontology)
2901 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 534-7000
MELISSA L HONN RN
Registered Nurse (Home Health)
2901 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 534-7623
LINDA GAY LEPAPE MSN ARNP
Nurse Practitioner (Family)
2901 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 534-7000

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 Jerry Fungwa Shu's NPI number?

The NPI number for Jerry Fungwa Shu is 1275414476. It was assigned to this individual provider in the NPPES registry on September 12, 2025.

Where is Jerry Fungwa Shu located?

Jerry Fungwa Shu practices at 2901 Bridgeport Way W, University Place, WA 98466. The listed phone number is (253) 534-7000.

What is Jerry Fungwa Shu's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jerry Fungwa Shu was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.