Individual provider Active NPI

Stefan Baumgartner, LAPC

  • Professional Counselor
  • Philadelphia, PA
National Provider Identifier
1639964265
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
001127 Issued in PA
Practice address
1500 Chestnut St Ste 2 #1396
Philadelphia, PA 19102
Phone
(215) 233-1800
Fax
(415) 559-8613
NPI assigned
Apr 14, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 001127 PA Primary

Addresses

Primary practice location

1500 Chestnut St Ste 2 #1396
Philadelphia, PA 19102

Mailing address

4200 18TH St Ste 104
San Francisco, CA 94114-2449
Phone (215) 233-1800

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
001127PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Barton Shulman Psychotherapy, a Professional Clinical Counselor Corp CurrentSince Apr 20, 2025 Accepting new patients

Locations

4200 18th St
Ste 104
San Francisco, CA 94114
Phone (415) 569-6304

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": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1639964265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 18TH ST STE 104",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941142449",
            "telephone_number": "215-233-1800",
            "fax_number": "415-449-8613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CHESTNUT ST STE 2 #1396",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19102",
            "telephone_number": "215-233-1800",
            "fax_number": "415-559-8613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMGARTNER",
        "first_name": "STEFAN",
        "credential": "LAPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "001127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.