Organization Active NPI

Kristin Bulin Trauma Anxiety Specialist

  • Adult Mental Health Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1104631134
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
KRISTIN BULIN TRAUMA ANXIETY SPECIALIST
Practice address
7110 Oakland Ave Ste 201
Saint Louis, MO 63117-1871
Phone
(314) 626-4412
NPI assigned
Feb 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Kristin Berg Bulin
Title
Therapist-Owner
Phone
(314) 626-4412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

7110 Oakland Ave Ste 201
Saint Louis, MO 63117-1871

Mailing address

7110 Oakland Ave Ste 201
Saint Louis, MO 63117-1871
Phone (314) 626-4412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250527002527 MO Part B Supplier - Clinic/Group Practice 7719406347 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

7110 Oakland Ave
Ste 201
Saint Louis, MO 63117
Phone (314) 626-4412

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1104631134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 OAKLAND AVE STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171871",
            "telephone_number": "314-626-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 OAKLAND AVE STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171871",
            "telephone_number": "314-626-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN BULIN TRAUMA ANXIETY SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "BULIN",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "BERG",
        "authorized_official_title_or_position": "THERAPIST-OWNER",
        "authorized_official_telephone_number": "314-626-4412"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.