Active NPI
Barbara K Shulla, LMHC, LMFT
- Mental Health Counselor
- Brockport, NY
National Provider Identifier
1194732396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 000146
- Practice address
- 3148 Lake Rd N
Brockport, NY 14420-9402 - Phone
- (585) 314-0357
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 000146 | NY | Primary |
| Marriage & Family Therapist | 106H00000X | 000208 | NY |
Addresses
Primary practice location
3148 Lake Rd N
Brockport, NY 14420-9402
Mailing address
3148 Lake Rd N
Brockport, NY 14420-9402
Phone (585) 314-3057
Other names 1
- Ms. Barbara K. McKinney
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000146 | NY | MD | Mental Health Counselor |
| 000208 | NY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466726400000",
"number": "1194732396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3148 LAKE RD N",
"city": "BROCKPORT",
"state": "NY",
"postal_code": "144209402",
"telephone_number": "585-314-3057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3148 LAKE RD N",
"city": "BROCKPORT",
"state": "NY",
"postal_code": "144209402",
"telephone_number": "585-314-0357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULLA",
"first_name": "BARBARA",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "LMHC, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2016-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "000146",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "000208",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BARBARA",
"last_name": "MCKINNEY",
"middle_name": "K.",
"prefix": "MS.",
"credential": "LMHC, LMFT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brockport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.