Susan M Bulsza, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4956 Issued in SC

Practice address

2513 N. Oak St.
Suite 208
Myrtle Beach, SC 29577

Phone

(843) 333-6767

Fax

(843) 448-9875

NPI assigned

Oct 18, 2006

Last updated

Apr 15, 2019By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Susan M. Bulsza LPC, LLC

  • Professional Counselor
  • Myrtle Beach, SC
  • NPI 1255956090
  NPD (past) Authorized official
• Susan M. Bulsza, LPC, LLC

  • Professional Counselor
  • Myrtle Beach, SC
  • NPI 1972821577
  NPD (past) Authorized official

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1285715920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50046",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29579",
            "telephone_number": "843-333-6767",
            "fax_number": "843-448-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2513 N. OAK ST.",
            "address_2": "SUITE 208",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29577",
            "telephone_number": "843-333-6767",
            "fax_number": "843-448-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULSZA",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "4956",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "4956",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1089",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beatrice Stella Buhuro, MD
• Emily Bullard, PHARMD
• Gabrielle Elaina Bulleman, PA-C
• Carolyn Bullington, HAS
• Robert J Bulsza, LPC
• Thomas Bumbalo, MD
• Donna Lynn Burchell, PTA
• Amy Harrelson Burchette, REGISTERED NURSE
• La'Asha Burgess, PA
• Carolyn Burke Ellis

• Mental Health Counselor in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.