Susan Midkiff Kullerd, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

67190 Issued in TX

Practice address

1100 Round Rock Ave
Suite 107a
Round Rock, TX 78681-4511

Phone

(512) 415-9493

NPI assigned

Feb 24, 2013

Last updated

Feb 24, 2013By 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

Enrolled in TX

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

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1361664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361664000000",
    "number": "1790025039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ROUND ROCK AVE",
            "address_2": "SUITE 107A",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814511",
            "telephone_number": "512-415-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ROUND ROCK AVE",
            "address_2": "SUITE 107A",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814511",
            "telephone_number": "512-415-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULLERD",
        "first_name": "SUSAN",
        "middle_name": "MIDKIFF",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-24",
        "last_updated": "2013-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "67190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Elizabeth Kucenski
• Lakshmi Kudalore, MD
• Cara Lisa Kugel, LPC
• Walter B Kuhl, MD
• Varun Sharad Kulkarni, DDS
• Merima Kulosman, MSOT
• Lori Kumar, DNP, PMHNP-BC, APRN
• Vimala V Kumar, L.AC
• Venkata Sumana Kumarappa, M.D
• Weishan Kuo, MASTER OF ACUPUNCTUR

• Professional Counselor in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.