Individual provider Active NPI

Barbara K Shulla, LMHC, LMFT

  • Mental Health Counselor
  • Brockport, NY
National Provider Identifier
1194732396
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
000146 Issued in NY
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

Updated by the provider on Jun 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
000146NYMDMental Health Counselor
000208NYMDMarriage & 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.

Verify at the official NPI Registry.