Mary Kay Bulmer, LSW, LCDCIII

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

S0029111 Issued in OH

Practice address

7774 Graphics Way
Lewis Center, OH 43035-8114

Phone

(614) 301-8968

NPI assigned

May 2, 2016

Last updated

May 2, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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.

• Stratas High School Recovery Communities

  • Addiction (Substance Use Disorder) Counselor
  • Lewis Center, OH
  • NPI 1841645983
  NPD (past)

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1609221266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 NORTHWOODS BLVD STE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432357473",
            "telephone_number": "614-301-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7774 GRAPHICS WAY",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430358114",
            "telephone_number": "614-301-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULMER",
        "first_name": "MARY KAY",
        "credential": "LSW, LCDCIII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "S0029111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie Brooks
• Margaret Brown, LISW
• Ashley M Brunton, LPCC
• Cheryl Bucci, M.S. CCC-SLP
• Nicole Elise Budd, MS, ATC
• Ashley Burrs
• C. Watt Tate O.D. and Associates, Inc.
• Audrey Belle Callahan
• Elizabeth Lynne Campbell-Smit, RN
• Andrea Lynn Caraan

• Addiction (Substance Use Disorder) Counselor in Lewis Center, OH
• Providers in Lewis Center, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.