Individual provider Active NPI

Katlin Elizabeth Pulling, MA

  • Mental Health Counselor
  • Woburn, MA
National Provider Identifier
1487166914
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
10I Roessler Rd
Woburn, MA 01801-6208
Phone
(781) 932-8114
Fax
(781) 305-3784
NPI assigned
Oct 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MA Primary

Addresses

Primary practice location

10I Roessler Rd
Woburn, MA 01801-6208

Mailing address

10I Roessler Rd
Woburn, MA 01801-6208
Phone (781) 932-8114

Other practice location 1

100 George P Hassett Dr
Medford, MA 02155-3258
Phone (781) 393-4828 ext. 39

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20240216001592 MA Practitioner - Mental Health Counselor 6709220809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hri Clinics, Inc.Group PAC ID 8022088483, 104 clinicians

Practice addresses (Care Compare)

116 Summer St
Haverhill, MA 01830-6032
Phone (978) 373-7010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Hri Clinics Inc CurrentSince Jan 1, 2024 Accepting new patients
Hri Clinics, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

14 Fordham Rd
Boston, MA 02134
Phone (617) 783-9676

116 Summer St
Haverhill, MA 01830
Phone (978) 373-7010

100 George P Hassett Dr
Medford, MA 02155
Phone (781) 393-4828

10I Roessler Rd
Woburn, MA 01801
Phone 7819328114 ext. 300

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487166914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10I ROESSLER RD",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016208",
            "telephone_number": "781-932-8114",
            "fax_number": "781-305-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10I ROESSLER RD",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016208",
            "telephone_number": "781-932-8114",
            "fax_number": "781-305-3784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 George P Hassett Dr",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "MA",
            "postal_code": "021553258",
            "country_code": "US",
            "telephone_number": "781-393-4828 x39",
            "fax_number": "781-393-4246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PULLING",
        "first_name": "KATLIN",
        "middle_name": "ELIZABETH",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

Verify at the official NPI Registry.