Kristal Dulleck, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH23769 Issued in FL

Practice address

2700 Bayshore Blvd Apt 507
Dunedin, FL 34698-1623

Phone

(303) 419-0730

NPI assigned

Jun 3, 2024

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 and National Provider Directory roles.

• Coastal Connections Counseling Inc

  • Mental Health Counselor
  • Palm Harbor, FL
  • NPI 1376379644
  NPD Authorized official
• Bokhari Medical Consortium Inc

  • Internal Medicine Physician
  • Largo, FL
  • NPI 1356153316
  NPD (past)
• Bokhari Medical Consortium Inc

  • Adult Mental Health Clinic/Center
  • Largo, FL
  • NPI 1982314241
  NPD (past)

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1720829971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 BAYSHORE BLVD APT 507",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346981623",
            "telephone_number": "303-419-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 BAYSHORE BLVD APT 507",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346981623",
            "telephone_number": "303-419-0730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "716 Seminole Blvd",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337703627",
            "country_code": "US",
            "telephone_number": "727-238-3241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 N Oakwood Ave",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335104629",
            "country_code": "US",
            "telephone_number": "303-419-0730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DULLECK",
        "first_name": "KRISTAL",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH23769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Susana Londono, LLC
• Dr.Drea LLC
• Drmaria Loulourgas PA
• David Drobes, PH.D.
• Stacey Lynn Drongoski, B.S., RBT
• Lynda L Dunckley, RN
• Dunedin Chiropractic Inc
• Dunedin Dental Associates, LLC
• Dunedin Opco LLC
• Dunedin Pediatrics LLC

• Mental Health Counselor in Dunedin, FL
• Providers in Dunedin, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.