Melanie Bullock, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.008778 Issued in IL

Practice address

3033 Ogden Ave Ste 210
Lisle, IL 60532-1976

Phone

(877) 443-7030

NPI assigned

Jul 12, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499817600000",
    "number": "1346762374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 NORMAN RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 OGDEN AVE STE 210",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321976",
            "telephone_number": "877-443-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "MELANIE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2017-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.008778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "1124092911",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irene Rose Bucher, M.A., CCC/SLP
• Gerardo Omar Bucio, OT
• Farah Budd
• Jennifer Buening, APN, FNP-C
• Darlene Buikema
• Mary Bumpus
• Bonnie C Buratto, MS, LCPC
• Laura Burch, M.S. CCC-SLP
• Amber Burchett, LPC
• Kristiana Burlini, DPT

• Mental Health Counselor in Lisle, IL
• Providers in Lisle, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; 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.