Active NPI
Kristian Bulliner
- Social Worker
- Orland Park, IL
National Provider Identifier
1356052435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.109839
- Practice address
- 14300 S Ravinia Ave Ste 100
Orland Park, IL 60462-2578 - Phone
- (855) 205-4764
- NPI assigned
- Dec 8, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.109839 | IL | Primary |
Addresses
Primary practice location
14300 S Ravinia Ave Ste 100
Orland Park, IL 60462-2578
Mailing address
14300 S Ravinia Ave Ste 100
Orland Park, IL 60462-2578
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14300 S Ravinia Ave
Suite 100
Orland Park, IL 60462-2578
Phone (630) 974-6602
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.109839 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMS Clinical Services PLLC | Current | Accepting new patients |
Locations
1100 Jorie Blvd
Ste 300
Oak Brook, IL 60523
Phone (224) 900-7867
14300 S Ravinia Ave
Ste 100
Orland Park, IL 60462
Phone (855) 205-4764
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.
-
- Psychiatry Physician
- Oak Brook, IL
- NPI 1285273540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670457600000",
"number": "1356052435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14300 S RAVINIA AVE STE 100",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604622578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14300 S RAVINIA AVE STE 100",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604622578",
"telephone_number": "855-205-4764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULLINER",
"first_name": "KRISTIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-08",
"last_updated": "2022-12-08",
"certification_date": "2022-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.109839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.