HEEJU RYU
NPI 1386105047
Marriage & Family Therapist in San Jose, CA

Q: What is Heeju Ryu's NPI number?

The NPI number for Heeju Ryu is 1386105047. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Q: What is Heeju Ryu's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Heeju Ryu was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since March 26, 2019PECOS Enrolled

2400 MOORPARK AVE STE 300, SAN JOSE, CA 95128(408) 284-9080 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2022, Aug 8, 2022 (2 updates tracked since 2022).

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About Heeju Ryu NPPES

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

HEEJU RYU (NPI 1386105047) is an individual marriage & family therapist in San Jose, California, licensed in California (AMFT134341) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1386105047

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameHEEJU RYU

Location Address2400 MOORPARK AVE STE 300San Jose, CA 95128-2680

Mailing Address2400 Moorpark Ave Ste 300San Jose, CA 95128-2680 · (408) 975-2730

Phone(408) 284-9080

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 26, 2019

Last NPPES UpdateJune 28, 20232 updates tracked since enumeration

NPPES CertifiedJune 28, 2023

✔ NPI 1386105047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · AMFT134341

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 ListedCounselorTaxonomy 101Y00000X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License APCC11982 (CA)

Also ListedBehavior TechnicianTaxonomy 106S00000X · License 00007050 (CA)

2400 MOORPARK AVE STE 300, San Jose, CA 95128

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heeju Ryu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002392321

PECOS Enrollment IDI20260107001486

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

JEE Y LEE

Marriage & Family Therapist