Individual provider Active NPI

Barbara Swan Walker, M.S., M.F.T.

  • Marriage & Family Therapist
  • San Bruno, CA
National Provider Identifier
1184746265
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT 33837 Issued in CA
Practice address
841 San Bruno Ave W
Suite 2
San Bruno, CA 94066-3443
Phone
(650) 219-6597
Fax
(650) 355-8609
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT 33837 CA Primary

Addresses

Primary practice location

841 San Bruno Ave W
Suite 2
San Bruno, CA 94066-3443

Mailing address

120 Surf St
Pacifica, CA 94044-2233
Phone (650) 738-8542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 3, 2024 through Jan 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MFT 33837CAMDMarriage & Family Therapist
33837CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184746265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SURF ST",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940442233",
            "telephone_number": "650-738-8542",
            "fax_number": "650-355-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 SAN BRUNO AVE W",
            "address_2": "SUITE 2",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940663443",
            "telephone_number": "650-219-6597",
            "fax_number": "650-355-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "BARBARA",
        "middle_name": "SWAN",
        "name_prefix": "Ms.",
        "credential": "M.S., M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 33837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bruno, CA

Sources for this page

Verify at the official NPI Registry.