Individual provider Active NPI

Julian Andrew Shipnuck, ASW

  • Mental Health Counselor
  • Oakland, CA
National Provider Identifier
1588536221
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
ASW134007 Issued in CA
Practice address
2501 Chestnut St
Oakland, CA 94607-2477
Phone
(510) 452-2063
NPI assigned
Sep 22, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X ASW134007 CA Primary

Addresses

Primary practice location

2501 Chestnut St
Oakland, CA 94607-2477

Mailing address

1000 42ND St
Oakland, CA 94608-3621
Phone (510) 452-2063

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
ASW134007CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Yu Ming Charter School PastSince Sep 28, 2025 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1588536221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 42ND ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946083621",
            "telephone_number": "510-452-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 CHESTNUT ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946072477",
            "telephone_number": "510-452-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPNUCK",
        "first_name": "JULIAN",
        "middle_name": "ANDREW",
        "credential": "ASW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW134007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.