Active NPI
Andrea Christine Bullerman
- Marriage & Family Therapist
- Cedar Falls, IA
National Provider Identifier
1275286122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 110891
- Practice address
- 3812 Cedar Heights Dr
Cedar Falls, IA 50613-6260 - Phone
- (319) 260-2149
- NPI assigned
- Feb 1, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 110891 | IA | Primary |
Addresses
Primary practice location
3812 Cedar Heights Dr
Cedar Falls, IA 50613-6260
Mailing address
3812 Cedar Heights Dr
Cedar Falls, IA 50613-6260
Phone (319) 260-2149
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | andrea@covenantfamilysolutions.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 110891 | IA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Family Solutions, LLC | Current | Accepting new patients |
Locations
3812 Cedar Heights Dr
Cedar Falls, IA 50613
Phone (319) 260-2149
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Cedar Rapids, IA
- NPI 1407295280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1275286122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3812 CEDAR HEIGHTS DR",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "506136260",
"telephone_number": "319-260-2149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3812 CEDAR HEIGHTS DR",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "506136260",
"telephone_number": "319-260-2149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULLERMAN",
"first_name": "ANDREA",
"middle_name": "CHRISTINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-01",
"last_updated": "2022-02-01",
"certification_date": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IA",
"license": "110891",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "andrea@covenantfamilysolutions.com",
"affiliation": "N",
"endpointDescription": "Laptop",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3812 Cedar Heights Dr",
"city": "Cedar Falls",
"state": "IA",
"country_code": "US",
"postal_code": "506136260",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cedar Falls, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.