Linda Jean Bullard, M.S., L.M.H.C.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MH10807 Issued in FL

Practice address

200 E Beach Dr
Panama City, FL 32401-3117

Phone

(850) 872-4715

NPI assigned

Jul 14, 2011

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

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Life Management Center of NW FL, Inc.

  • Psychiatry Physician
  • Panama City, FL
  • NPI 1508854571
  Medicare reassignment NPD
• Life Management Center of Northwest Florida Inc

  • Psychiatry Physician
  • Blountstown, FL
  • NPI 1659301877
  NPD
• Life Management of NW FL, Inc.

  • Psychiatry Physician
  • Marianna, FL
  • NPI 1255367579
  NPD
• Amikids Panama City Marine Institute, Inc

  • Mental Health Counselor
  • Panama City, FL
  • NPI 1114318573
  NPD (past)
• Compass Health, Inc

  • Community/Behavioral Health Agency
  • Clinton, MO
  • NPI 1285619494
  NPD (past)

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1326336108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E BEACH DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013117",
            "telephone_number": "850-872-4715",
            "fax_number": "850-785-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E BEACH DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013117",
            "telephone_number": "850-872-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "LINDA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "M.S., L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MH10807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy E Buck
• Lisa Buckley, SLP
• Tykena Buckner
• Anh Bui
• Building Families Inc
• Yvonne D Bullard, M.D.
• Claritza Bunten, MS, LMHC
• Kristina M Burch
• Christina Burchett, FNP
• Jennifer Burg, DNP, APRN, FNP-BC

• Marriage & Family Therapist in Panama City, FL
• Providers in Panama City, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.