Debora Pullin, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2011017045 Issued in MO

Practice address

662 N New Ballas Rd
Creve Coeur, MO 63141-6737

Phone

(314) 499-9144

NPI assigned

Jun 25, 2013

Last updated

Jun 25, 2013By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sound Mind Cafe

  • Community/Behavioral Health Agency
  • Creve Coeur, MO
  • NPI 1326422239
  NPD (past)

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1609216506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 HARTFORD ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631163929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "662 N NEW BALLAS RD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416737",
            "telephone_number": "314-499-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLIN",
        "first_name": "DEBORA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2011017045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Psych TMS St. Louis, LLC
• Prevention First LLC
• Private MD, LLC
• Geraldine Prophete, PA
• Breanna Pruitt
• Mackenzie P Purdy, MD
• Mabel Louise Purkerson, M.D.
• Elizabeth Pytlinski, PHARM.D.
• Nancy B. Quigley, CPNP
• Dennis J Quinlan, RPH

• Professional Counselor in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.