DR. MIYUKI TOMURA PHD
NPI 1710163308
Counselor - Mental Health in Seattle, WA

Active since January 14, 2008Opted out of Medicare · through Dec 1, 2026
3639 MARTIN LUTHER KING JR WAY S, SEATTLE, WA 98144(206) 805-8965 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Miyuki Tomura Phd NPPES

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

DR. MIYUKI TOMURA PHD (NPI 1710163308) is an individual mental health provider in Seattle, Washington, licensed in Hawaii (MHC-899-0) and active in the NPI registry since January 2008. She has opted out of Medicare through December 1, 2026.

NPPES Registry Identity

NPI1710163308
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. MIYUKI TOMURACredential: PHD
Location Address3639 MARTIN LUTHER KING JR WAY SSeattle, WA 98144-6847
Mailing Address3035 Island Crest Way, Suite 108Mercer Island, WA 98040-2919 · (425) 677-4146
Sole ProprietorNo
Enumeration DateJanuary 14, 2008
Last NPPES UpdateApril 26, 2023
NPPES CertifiedApril 26, 2023
NPI 1710163308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in HI · MHC-899-0
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PY60257713 (WA)
3639 MARTIN LUTHER KING JR WAY S, Seattle, WA 98144

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

Dr. Miyuki Tomura Phd 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 December 1, 2020 through December 1, 2026.

Opt-Out Effective DateDecember 1, 2020
Opt-Out In Effect ThroughDecember 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

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.

Social Worker
3639 MARTIN LUTHER KING JR WAY S
SEATTLE, WA 98144
Registered Nurse
3639 MARTIN LUTHER KING JR WAY S
SEATTLE, WA 98144
Counselor
3639 MARTIN LUTHER KING JR WAY S
SEATTLE, WA 98144
Social Worker
3639 MARTIN LUTHER KING JR WAY S
SEATTLE, WA 98144
Social Worker (Clinical)
3639 MARTIN LUTHER KING JR WAY S
SEATTLE, WA 98144
Social Worker
3639 MARTIN LUTHER KING JR WAY S
SEATTLE, WA 98144
Counselor
3639 MARTIN LUTHER KING JR WAY S
SEATTLE, WA 98144
Counselor (Mental Health)
3639 MARTIN LUTHER KING JR WAY S
SEATTLE, WA 98144

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 Miyuki Tomura's NPI number?

The NPI number for Miyuki Tomura is 1710163308. It was assigned to this individual provider in the NPPES registry on January 14, 2008.

Where is Miyuki Tomura located?

Miyuki Tomura practices at 3639 Martin Luther King Jr Way S, Seattle, WA 98144. The listed phone number is (206) 805-8965.

What is Miyuki Tomura's specialty?

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

Is Miyuki Tomura enrolled in Medicare?

No. Miyuki Tomura has opted out of Medicare through December 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Miyuki Tomura accept?

Health plans from HMSA and Premera Blue Cross Blue Shield of Alaska list Miyuki Tomura 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 Miyuki Tomura was last updated on April 26, 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.