Emma Bachman Killian, MD, LMHC #21134

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

19722 Issued in FL

Practice address

668 N Orlando Ave Ste 210
Maitland, FL 32751-4459

Phone

(407) 453-0555

NPI assigned

Nov 13, 2020

Last updated

Aug 30, 2022By 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

Other names 1

• Emma Bachman Killian Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1770185803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 STETSON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045768",
            "telephone_number": "407-579-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 N ORLANDO AVE STE 210",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514459",
            "telephone_number": "407-453-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLIAN",
        "first_name": "EMMA",
        "middle_name": "BACHMAN",
        "credential": "MD, LMHC #21134",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "19722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMA",
            "last_name": "KILLIAN",
            "middle_name": "BACHMAN",
            "credential": "MD, LMHC #21134",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mahek Fatema Kermalli, MMS, PA-C
• Sajid Khan, APRN
• Dominique Blanche Kiefer
• Robert Stanton Kilcourse Jr., DDS
• Karen Patience Kildron, M.S., S.S.P.
• Erin Kim, CAA
• Sun Hee Kim, CRNA
• Lindsay Kincaide, MS
• Devin King
• Irene Rose Kinney

• Mental Health Counselor in Maitland, FL
• Providers in Maitland, 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 Aug 30, 2022; 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.