Active NPI
Shu Ping Guan
- Mental Health Counselor
- Oakland, CA
National Provider Identifier
1770367112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 14546
- Practice address
- 630 Thomas L Berkley Way Ste 101
Oakland, CA 94612-1834 - Phone
- (510) 390-6644
- NPI assigned
- Aug 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 14546 | CA | Primary |
Addresses
Primary practice location
630 Thomas L Berkley Way Ste 101
Oakland, CA 94612-1834
Mailing address
630 Thomas L Berkley Way Ste 101
Oakland, CA 94612-1834
Other practice location 1
399 Laurel St Ste 9
San Francisco, CA 94118-1952
Phone (510) 390-6644
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1770367112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 THOMAS L BERKLEY WAY STE 101",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946121834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 THOMAS L BERKLEY WAY STE 101",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946121834",
"telephone_number": "510-390-6644"
}
],
"practiceLocations": [
{
"address_1": "399 Laurel St Ste 9",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941181952",
"country_code": "US",
"telephone_number": "510-390-6644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUAN",
"first_name": "SHU PING",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-24",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "14546",
"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 Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.