Chun Ning Peter Shum, LMFT, LPCC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

117965 Issued in CA

Practice address

21710 Stevens Creek Blvd Ste 105
Cupertino, CA 95014-1179

Phone

(650) 416-8622

NPI assigned

Jan 29, 2016

Last updated

Jun 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Peter Shum Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Upward Counseling Center

  • Marriage & Family Therapist
  • Cupertino, CA
  • NPI 1609509306
  Medicare reassignment NPD

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1386002707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25262",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944025262",
            "telephone_number": "650-416-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21710 STEVENS CREEK BLVD STE 105",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950141179",
            "telephone_number": "650-416-8622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1021 S El Camino Real",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944022801",
            "country_code": "US",
            "telephone_number": "650-416-8622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUM",
        "first_name": "CHUN NING PETER",
        "credential": "LMFT, LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-29",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "9488",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "117965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "SHUM",
            "credential": "LMFT, LPCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hubert Shih, MD
• Stephanie Leigh Shimizu, PT, DPT
• Haneul Shin
• Geetha Shivakumar, M.D.
• No Name Given Shivani Singh
• Ben Shyy, PH.D., D.D.S.
• Anila Siddiqui
• Nadya Sidki
• Elvira A. Sigal, NP
• Domingo Antonio Silva, D.C.

• Marriage & Family Therapist in Cupertino, CA
• Providers in Cupertino, 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 Jun 10, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.