MARY BULTMANN (NPI# 1477962355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477962355 |
| Entity Type | Individual |
| Full Name | MARY BULTMANN |
| Credential | LPC |
| Practice Address |
410b Se 3rd Street Suite 101 Lee's Summit MO 64063 |
| Practice Telephone | 8165255333 |
| Practice Fax Number | 8165255334 |
| Mailing Telephone | 8165255333 |
| Mailing Fax Number | 8165255334 |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2013017060 | MO | Behavioral Health & Social Service Providers |
| Street Address |
410B SE 3RD STREET SUITE 101 |
| City | LEE'S SUMMIT |
| State | MO |
| Zip Code | 64063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649895533 | Ian Christopher Fekete | Student in an Organized Health Care Education/Training Program | Lee's Summit Medical Center, 2100 Se Blue Pkwy, Lee's Summit, MO 64063 | 2020-06-16 |
| 1083268403 | Rachelle Colyer | Physical Therapist | 298 Sw Blue Pkwy, Lee's Summit, MO 64063 | 2019-07-25 |
| 1326504200 | Brenda Michelle Brown | Physical Therapist | 2160 Se Blue Parkway Addington Place, 2160 Seblue Parkway, Lee's Summit, MO 64063 | 2019-02-15 |
| 1528545068 | Bayada Home Health Care, Inc. | Home Health | 600 Sw Jefferson St Ste 101, Lees Summit, MO 64063 | 2018-07-27 |
| 1972089118 | Summit Integrative Dental (bromley, D.d.s. and Broyles, D.d.s.), P.C. | Dentist | 688 Se Bayberry Lane, Suite 101, Lee's Summit, MO 64063 | 2018-07-11 |
| 1104327576 | Molly Moore Mcgraw Davidson | Nurse Practitioner | 2000 Se Blue Pkwy Ste 270a, Lees Summit, MO 64063 | 2018-02-21 |
| 1821507591 | Joshua Greenwell | Chiropractor | 1634 Se Blue Pkwy, Lee's Summit, MO 64063 | 2017-09-26 |
| 1457870651 | Tlc Home Healthcare Consulting Inc | Registered Nurse | 109 Sw Madison St, Lee's Summit, MO 64063 | 2017-09-19 |
| 1053834622 | Kristin E Schwartz | Advanced Practice Midwife | 2000 Se Blue Pkwy Ste 220, Lees Summit, MO 64063 | 2017-07-25 |
| 1316493828 | Laura Ballantyne | Speech-Language Pathologist | 600 Se Miller St, Lees Summit, MO 64063 | 2016-08-26 |
| Find all providers in zip 64063 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740494426 | Cheryl Ann Mark | Counselor | 3601 Ne Ralph Powell Road, Suite C, Lee's Summit, MO 64064 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899374 | Christopher Seigel | Counselor | 5317 Mild Dr, Saint Louis, MO 63129-3109 | 2020-10-26 |
| 1225637838 | Summer Lynn Mcgowan | Counselor | 12040 Southern Breeze, Dexter, MO 63841-2890 | 2020-10-23 |
| 1578162434 | Laquesha Boston | Counselor | 14463 Gravelle Ln, Florissant, MO 63034-2209 | 2020-10-21 |
| 1013515725 | Tim Gravier | Counselor | 770 Aramis Dr, Creve Coeur, MO 63141-7309 | 2020-10-14 |
| 1790383651 | Oasis Counseling and Enrichment | Counselor | 201 Main St Ste 9, Parkville, MO 64152-3645 | 2020-10-13 |
| 1912505082 | Rebekah Sue Weidenaar | Counselor | 503 W Reed St, Moberly, MO 65270-1509 | 2020-10-12 |
| 1407454580 | Ruth A Stoan | Counselor | 1308 W Waldo Ave, Independence, MO 64050-2544 | 2020-10-12 |
| 1679170971 | Avery C Lough | Counselor | 627 E Springfield St, Saint James, MO 65559-1655 | 2020-10-08 |
| 1245837921 | Wendy Velicer | Counselor | 208 N Central Ave Ste D, Eureka, MO 63025-1850 | 2020-10-06 |
| 1730786740 | Julie Lynn Perkins | Counselor | 26394 Highway C, Salem, MO 65560-8655 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
| City | LEE'S SUMMIT |
| Zip Code | 64063 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.