Active NPI
Carrie Joanne Shulman, LMFT
- Marriage & Family Therapist
- San Jose, CA
National Provider Identifier
1841339983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFCC44707
- Practice address
- 205 Brooklyn Ave.
San Jose, CA 95128 - Phone
- (408) 564-4492
- NPI assigned
- Feb 5, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | S0508310848 | CA | |
| Mental Health Counselor | 101YM0800X | IMF44470 | CA | |
| Marriage & Family Therapist | 106H00000X | MFCC44707 | CA | Primary |
Addresses
Primary practice location
205 Brooklyn Ave.
San Jose, CA 95128
Mailing address
205 Brooklyn Ave.
San Jose, CA 95128
Phone (408) 564-4492
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 28, 2024 through Aug 28, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S0508310848 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| IMF44470 | CA | MD | Mental Health Counselor |
| MFCC44707 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228348800000",
"number": "1841339983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 BROOKLYN AVE.",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95128",
"telephone_number": "408-564-4492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 BROOKLYN AVE.",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95128",
"telephone_number": "408-564-4492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULMAN",
"first_name": "CARRIE",
"middle_name": "JOANNE",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2008-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "S0508310848",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "IMF44470",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFCC44707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.