Jennifer E Bullard Ma, LPC, PC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

17244 Issued in TX

Legal business name

JENNIFER E BULLARD MA, LPC, PC

Practice address

1751 Broad Park Cir S
Suite 207
Mansfield, TX 76063-7826

Phone

(817) 291-4564

Fax

(817) 473-7787

NPI assigned

Oct 5, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer E Bullard, MA, LPC-SNPI 1437479193

Title

President

Phone

(817) 291-4564

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer E Bullard, MA, LPC

  • Professional Counselor
  • Fort Worth, TX
  • NPI 1437479193
  NPD (past) Authorized official

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1497064745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5554 AMISTAD ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761375365",
            "telephone_number": "817-291-4564",
            "fax_number": "817-473-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 BROAD PARK CIR S",
            "address_2": "SUITE 207",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637826",
            "telephone_number": "817-291-4564",
            "fax_number": "817-473-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER E BULLARD MA, LPC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "BULLARD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-291-4564",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanuine, Inc. Dba Comfort Keepers 302
• Kylie Jefferson
• Denise Diane Jenkins, LCSW
• Eric Richard Jenkins, MD
• Jessica Jenkins, FNP-BC
• Kristina M. Jennings, MA, LPC
• Zoe Samantha Jennings, PA-C
• Keith N Jensen, DC
• Jhamb Enterprises, Inc.
• Jiaul Ahsan PLLC

• Professional Counselor in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.