Joan Frances Bullemer, MA, LPC, LADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

02027 Issued in MN

Practice address

5009 Excelsior Blvd Ste 134
St Louis Park, MN 55416-3049

Phone

(612) 267-1949

NPI assigned

Oct 16, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1306357553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 CHATHAM RD NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554213302",
            "telephone_number": "612-267-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 EXCELSIOR BLVD STE 134",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554163049",
            "telephone_number": "612-267-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLEMER",
        "first_name": "JOAN",
        "middle_name": "FRANCES",
        "credential": "MA, LPC, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "301813",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "02027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Buchner-Mehling, MD
• Christopher G Buck, MD
• Paul Allen Buckley, PAUL BUCKLEY, LMFT
• Rebecca Hagen Budge, PA-C
• Christian A Buhr, M.D.
• Emily Bulthuis, MSW, LICSW
• Morgan Lee Bunde
• Nicole Therese Bunno
• Michelle Kline Buonfiglio
• Adam Ronald Burandt, DPT

• Mental Health Counselor in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.