Individual provider Active NPI

Robin Elizabeth Stull, LPCC-S

  • Counselor
  • Fremont, OH
National Provider Identifier
1124440565
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
1300332 Issued in OH
Practice address
410 Birchard Ave FL 2
Fremont, OH 43420-2967
Phone
(419) 635-6624
NPI assigned
Jan 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1300332 OH Primary

Addresses

Primary practice location

410 Birchard Ave FL 2
Fremont, OH 43420-2967

Mailing address

310 S Front St Ste 4
Fremont, OH 43420-3086
Phone (419) 635-6624

Other names 1

  • Miss Robin Elizabeth Caudill Former name

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
1300332OHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Recovery Services CurrentSince Jun 15, 2025 Accepting new patients
Connections Recovery Services CurrentSince May 25, 2025 Accepting new patients

Locations

410 Birchard Ave
Fl 2
Fremont, OH 43420
Phone (419) 552-1254

Organizations & group practices 2

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": "1390003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1124440565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S FRONT ST STE 4",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434203086",
            "telephone_number": "419-635-6624",
            "fax_number": "567-201-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 BIRCHARD AVE FL 2",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434202967",
            "telephone_number": "419-635-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STULL",
        "first_name": "ROBIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-18",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "1300332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "CAUDILL",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fremont, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.