Bernadette Shu, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT128560 Issued in CA

Practice address

1303 San Carlos Ave
San Carlos, CA 94070-2317

Phone

(650) 434-2352

NPI assigned

May 14, 2018

Last updated

Feb 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Bernadette Santillan Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1114417383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1023",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940021023",
            "telephone_number": "415-307-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 SAN CARLOS AVE",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702317",
            "telephone_number": "650-434-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHU",
        "first_name": "BERNADETTE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT128560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.onelifecounselingservices.com",
            "affiliation": "Y",
            "endpointDescription": "Office",
            "affiliationName": "One Life Counseling Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NA",
            "address_1": "1303 San Carlos Ave",
            "city": "San Carlos",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940702317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BERNADETTE",
            "last_name": "SANTILLAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Monica Ochoa Shipp, M.A., ED.M.
• Amy Ruddle Shohet, LCSW
• Perry Michael Shoor, M.D.
• Geetika Shree, AMFT131843
• Stacey Shrout
• Joseph Shubert, MD
• Shubha Shukla, LMFT#147469
• Pauline Siao, MD
• Kristine Marie Allan Sidhu, MSC
• Janet Fischer Siegel, MFTI

• Marriage & Family Therapist in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.