Ayeshah Bulls, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC016850 Issued in PA

Practice address

816 Middle St
Pittsburgh, PA 15212

Phone

(412) 321-4001

NPI assigned

Mar 12, 2024

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Side Christian Health CenterGroup PAC ID 7012826373, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IHEIAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Side Christian Health Center

  • Federally Qualified Health Center (FQHC)
  • Pittsburgh, PA
  • NPI 1609091578
  Medicare reassignment Care Compare group NPD
• Mercy Life Center Corp

  dba Pittsburgh Mercy Family Health Center

  • Family Medicine Physician
  • Pittsburgh, PA
  • NPI 1073883161
  NPD
• Mercy Life Center Corporation

  dba Mercy Behavorial Health

  • Public Health or Welfare Agency
  • Pittsburgh, PA
  • NPI 1720075104
  NPD

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1215795364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 MIDDLE ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124915",
            "telephone_number": "412-321-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 MIDDLE ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15212",
            "telephone_number": "412-321-4001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 S 9th St",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152031266",
            "country_code": "US",
            "telephone_number": "412-488-2264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULLS",
        "first_name": "AYESHAH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC016850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104328205-0002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104328205-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawna Bullard
• Tia Nicole Bullard, PHARMD
• Theresa Roberta Bullen, MD
• Timothy Jason Bullock, MD, MPH
• Leon Bullough, CRNP
• Peter Bulova
• Apphia Aisha Bulus, MD
• Brad A Bulvin, CRNA
• Michael Anthony Bummer, M.D.
• Gregory Matthew Bump, MD

• Professional Counselor in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.