Kristin Buller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-015128 Issued in IL

Practice address

205 Oakland Ave
Carlinville, IL 62626-1921

Phone

(217) 854-3223

NPI assigned

Aug 1, 2011

Last updated

Mar 2, 2026By 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 IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristin.buller.p30@direct.fhn-fqhc.nextgenshare.com

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.

• Macoupin County Public Health Department

  • Federally Qualified Health Center (FQHC)
  • Gillespie, IL
  • NPI 1538444906
  Medicare reassignment NPD
• Macoupin County Public Health Department

  dba St Francis Way Clinic

  • Federally Qualified Health Center (FQHC)
  • Litchfield, IL
  • NPI 1720687841
  NPD
• Macoupin County Public Health Department

  dba Columbian Boulevard Dental Clinic

  • Federally Qualified Health Center (FQHC)
  • Litchfield, IL
  • NPI 1831798958
  NPD

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1982982534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 OAKLAND AVE",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261921",
            "telephone_number": "217-854-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 OAKLAND AVE",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261921",
            "telephone_number": "217-854-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLER",
        "first_name": "KRISTIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-015128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven John Boente, D.M.D.
• Kaitlin E Borgini
• Katelyn Elizabeth Bormida, M.S., CCC-SLP
• Ellen Kay Braley, OD
• Joan Brown
• Samantha Butcher, OD
• Calloway Chiropractic PC
• Kelly Anne Calloway, DC
• Rebbecca Camerer, NP
• Carlinville Area Hospital Association (Carlinville Area Hospital)

• Clinical Social Worker in Carlinville, IL
• Providers in Carlinville, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.