Active NPI
Amy Marie Bullins, LPC, LCMHC
- Professional Counselor
- Ennice, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701008316
- Practice address
- 10801 Glade Valley Rd
Ennice, NC 28623-9150 - Phone
- (336) 200-4477
- NPI assigned
- Jan 28, 2020
- Last updated
- Apr 7, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21425 | NC | MD | Professional Counselor |
| 0701008316 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Rogers Community Services | Current | 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.
-
- Professional Counselor
- Ennice, NC
- NPI 1598607822
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wytheville, VA
- NPI 1255365599
-
- Clinical Social Worker
- Grand Terrace, CA
- NPI 1972284958
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.