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Active NPI 1396875787 Individual Practitioner Female Practitioner

Thada Pulliam , LPC

Counselor - Professional • Blue Springs, MO

Professional Overview & Biography Verified Profile Summary

Thada Pulliam, LPC is a registered healthcare professional specializing in Counselor - Professional in Blue Springs, MO. Practice services are available at 1209 NW R IDGE DR. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1209 Nw R Idge Dr.
C

Blue Springs, MO 64015

Telephone 8162298080

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Blue Springs, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
39 Specialists

Practicing in Blue Springs, MO (5929 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MO 1999136662

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 1209 NW R IDGE DR., C, BLUE SPRINGS, MO 64015 (Tel: 8162298080)

📍
Updated Business Mailing Address July 09, 2007

Registered at 619 NE BORDNER DR, LEES SUMMIT, MO 640866228 (Tel: 8165541415)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as THADA PULLIAM, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Counselor (License #1999136662 in MO)

🟢
Initial NPI Registration & Enumeration March 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396875787
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2007
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

619 Ne Bordner Dr

Lees Summit, MO 640866228

Phone: 8165541415

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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