Kristine Buelow, LSW

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

150.101703 Issued in IL

Practice address

620 W Roosevelt Rd Ste C2
Wheaton, IL 60187-2306

Phone

(630) 480-4118

NPI assigned

Apr 29, 2019

Last updated

Apr 29, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cherry Hill Associates, LLC

  dba Cherry Hill Center

  • Clinical Social Worker
  • Lake Zurich, IL
  • NPI 1225277668
  Medicare reassignment NPD

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1306400981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W ROOSEVELT RD STE C2",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601872306",
            "telephone_number": "630-480-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W ROOSEVELT RD STE C2",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601872306",
            "telephone_number": "630-480-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUELOW",
        "first_name": "KRISTINE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "150.101703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle A Buchanan
• Megan Anne Bucher
• Kimmerly Buchholz
• Nereida Bucio
• Jyothi M Budanur, MSW
• Laura Rafaela Buenrostro, RN
• Kevin James Bunschoten
• Steven L Burandt, DO
• Beverly Jean Burch, MA, LCPC
• Christian G Burch, OD

• Professional Counselor in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.