Active NPI
Kristin Bull-Freeman, LPC
- Counselor
- Kettering, OH
National Provider Identifier
1972034445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- C.1200288
- Practice address
- 2670 Woodman Center CT
Kettering, OH 45420-1477 - Phone
- (314) 795-0431
- NPI assigned
- Mar 25, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C.1200288 | OH | Primary |
Addresses
Primary practice location
2670 Woodman Center CT
Kettering, OH 45420-1477
Mailing address
2670 Woodman Center CT
Kettering, OH 45420-1477
Phone (314) 795-0431
Other names 1
- Kristin Bull
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.1200288 | OH | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490400000000",
"number": "1972034445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2670 WOODMAN CENTER CT",
"city": "KETTERING",
"state": "OH",
"postal_code": "454201477",
"telephone_number": "314-795-0431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2670 WOODMAN CENTER CT",
"city": "KETTERING",
"state": "OH",
"postal_code": "454201477",
"telephone_number": "314-795-0431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULL-FREEMAN",
"first_name": "KRISTIN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-25",
"last_updated": "2017-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "C.1200288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "BULL",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.