Active NPI
John Austin Kulp III, D.MIN., M.A., M.DIV.
- Mental Health Counselor
- Kennewick, WA
National Provider Identifier
1134431919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH 60151753
- Practice address
- 8611 W Bonnie Ave
Kennewick, WA 99336-7958 - Phone
- (509) 947-1066
- NPI assigned
- Jul 8, 2010
- Sex
- Male
- 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 | LH 60151753 | WA | Primary |
Addresses
Primary practice location
8611 W Bonnie Ave
Kennewick, WA 99336-7958
Mailing address
1400 Sanford Ave.
Rac
Richland, WA 99354
Phone (509) 947-1066
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH 60151753 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278547200000",
"number": "1134431919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 SANFORD AVE.",
"address_2": "RAC",
"city": "RICHLAND",
"state": "WA",
"postal_code": "99354",
"telephone_number": "509-947-1066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8611 W BONNIE AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993367958",
"telephone_number": "509-947-1066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULP",
"first_name": "JOHN",
"middle_name": "AUSTIN",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.MIN., M.A., M.DIV.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-08",
"last_updated": "2010-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH 60151753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.