Jennifer E Bullard, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

17244 Issued in TX

Practice address

5554 Amistad St
Fort Worth, TX 76137-5365

Phone

(817) 291-3843

NPI assigned

Jun 4, 2010

Last updated

Jun 4, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Jennifer E Bullard Ma, LPC, PC

  • Professional Counselor
  • Mansfield, TX
  • NPI 1497064745
  NPD (past) Authorized official

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275609600000",
    "number": "1437479193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 BROAD PARK CIR S",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637826",
            "telephone_number": "817-291-3843",
            "fax_number": "817-473-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5554 AMISTAD ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761375365",
            "telephone_number": "817-291-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bertram Z Buie, O.D.
• James Scott Buie, M.D.
• Djurdja Bukarica, PHARM.D
• Syed Muhammad Ali Imran Bukhari, MD
• Kenneth J Buley, MD
• John W Bullard, RPH
• Madalyn Alliene Paige Bullard
• Leisha Buller, ACNP
• Abbie Bullington
• Chandler Bullock, DMD

• Professional Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.