Healthcare Provider Details

I. General information

NPI: 1821340977
Provider Name (Legal Business Name): BARTON A SHULMAN LPCC, CCMHC, BC-TMH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2012
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 18TH ST STE 104
SAN FRANCISCO CA
94114-2449
US

IV. Provider business mailing address

4200 18TH ST STE 104
SAN FRANCISCO CA
94114-2449
US

V. Phone/Fax

Practice location:
  • Phone: 415-830-3440
  • Fax:
Mailing address:
  • Phone: 415-830-3440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC4199
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC8031-125
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC16308
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLCPC02928
License Number StateKS
# 5
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLMHC39003814A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: