FUKARI PSYCH, PLLC
NPI 1851138325
Counselor - Professional in Grayslake, IL
About Fukari Psych, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FUKARI PSYCH, PLLC (NPI 1851138325) is a healthcare organization registered as a professional in Grayslake, Illinois and active in the NPI registry since July 2024. The organization lists Shelley Marie Johnson, Therapist/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fukari Psych, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Fukari Psych, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Fukari Psych, PLLC's NPI number?
The NPI number for Fukari Psych, PLLC is 1851138325. It was assigned to this organization in the NPPES registry on July 11, 2024.
Where is Fukari Psych, PLLC located?
Fukari Psych, PLLC is located at 10 N Lake St Ste 109, Grayslake, IL 60030. The listed phone number is (815) 479-4140.
What is Fukari Psych, PLLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Fukari Psych, PLLC enrolled in Medicare?
Yes. Fukari Psych, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fukari Psych, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Fukari Psych, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Fukari Psych, PLLC was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Fukari Psych, Pllc · NPI 1851138325
Professional organization in Grayslake, Illinois. Organization record, active in the CMS NPPES registry since July 11, 2024.
## Identity
- **NPI:** 1851138325 (Entity type: Organization)
- **Enumerated:** July 11, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Shelley Johnson, THERAPIST/OWNER
## Practice location
- **Address:** 10 N LAKE ST STE 109, Grayslake, IL 60030-3636
- **Phone:** (815) 479-4140
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1851138325) · Data from the CMS NPPES public registry.