Rachel Ann McKenzie Bulinski, LPC
Individual provider Active NPI Professional Counselor · Southington, CT
NPI 1013526102 · NPPES record last updated Oct 16, 2023
Key facts
- NPI
- 1013526102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 004433 (CT)
- Practice address
- 1187 Queen St
Southington, CT 06489-1266 - Phone
- (860) 604-3255
- NPI assigned
- Jul 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004433 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hop Brook Counseling Center, LLC | Professional | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 004433 | CT | Yes |
Addresses
Primary practice location
1187 Queen St
Southington, CT 06489-1266
Mailing address
992 Maple St
Rocky Hill, CT 06067-1125
Phone (860) 604-3255
Other providers in Southington, CT
- Josephine Brisenoruiz
- Brooke Corbett, LCSW
- Aisha Brown-Gauntlett
- Curtland Chester Brown III
- Mark Thomas Bugnacki
- Hayden Burbank
- Jeana Lee Burke
- Samantha Burke
- Kimberly Burns
- Peter David Byeff
All providers in Southington, CT · Professional Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.