Individual provider Active NPI

Amy Marie Bullins, LPC, LCMHC

  • Professional Counselor
  • Ennice, NC
National Provider Identifier
1437780640
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701008316 Issued in VA
Practice address
10801 Glade Valley Rd
Ennice, NC 28623-9150
Phone
(336) 200-4477
NPI assigned
Jan 28, 2020
Last updated
Apr 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 21425 NC
Professional Counselor 101YP2500X 0701008316 VA Primary

Addresses

Primary practice location

10801 Glade Valley Rd
Ennice, NC 28623-9150

Mailing address

10801 Glade Valley Rd
Ennice, NC 28623-9150
Phone (336) 200-4477

Other practice location 1

2000 Duke St Ste 300
Alexandria, VA 22314-6101
Phone (844) 843-7279

Other practice location 2

2530 Meridian Pkwy Fl 3
Durham, NC 27713-5272
Phone (844) 843-7279

Other practice location 3

108 Bedwell St
Independence, VA 24348-9501
Phone (276) 773-3515

Other practice location 4

901 N Glebe Rd Fl 5
Arlington, VA 22203-1853
Phone (323) 205-7088

Other names 1

  • Amy Marie Blowe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21425NCMDProfessional Counselor
0701008316VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Rogers Community Services CurrentSince Jan 1, 2024 Accepting new patients
North of Normal Counseling Professional Current Accepting new patients
Breaking Cycles Counseling Past Accepting new patients

Locations

6999 Carrollton Pike
Ste 2
Galax, VA 24333
Phone (276) 238-5600

108 Bedwell St
Independence, VA 24348
Phone (276) 773-3515

770 W Ridge Rd
Wytheville, VA 24382
Phone (276) 223-3200

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1437780640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 GLADE VALLEY RD",
            "city": "ENNICE",
            "state": "NC",
            "postal_code": "286239150",
            "telephone_number": "336-200-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 GLADE VALLEY RD",
            "city": "ENNICE",
            "state": "NC",
            "postal_code": "286239150",
            "telephone_number": "336-200-4477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Duke St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223146101",
            "country_code": "US",
            "telephone_number": "844-843-7279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2530 Meridian Pkwy Fl 3",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277135272",
            "country_code": "US",
            "telephone_number": "844-843-7279",
            "fax_number": "720-513-5762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 Bedwell St",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "VA",
            "postal_code": "243489501",
            "country_code": "US",
            "telephone_number": "276-773-3515",
            "fax_number": "276-773-2707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 N Glebe Rd Fl 5",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222031853",
            "country_code": "US",
            "telephone_number": "323-205-7088",
            "fax_number": "833-419-0181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULLINS",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "LPC, LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "21425",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BLOWE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ennice, NC

Sources for this page

Verify at the official NPI Registry.