Cbullard Counseling Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CBULLARD COUNSELING SERVICES LLC

Practice address

7958 Highway 79 S
Pine Bluff, AR 71603-4541

Phone

(870) 489-5454

NPI assigned

Sep 9, 2024

Last updated

Oct 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cynthia D Bullard, LPCNPI 1972201747

Title

Clinician

Phone

(870) 489-5454

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cynthia D Bullard, LPC

  • Mental Health Counselor
  • Pine Bluff, AR
  • NPI 1972201747
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1568298446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1251",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716131251",
            "telephone_number": "870-489-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7958 HIGHWAY 79 S",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716034541",
            "telephone_number": "870-489-5454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "912 W 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Pine Bluff",
            "state": "AR",
            "postal_code": "716014033",
            "country_code": "US",
            "telephone_number": "870-489-4177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CBULLARD COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "BULLARD",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "870-489-5454",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yalanda Carruth
• Kenneth Carswell, MS, BCPC, PTSDC, CDC
• Hannah Carter, DDS
• Leanne Metzger Carter, PA-C
• James Steven Cash, MD
• Cdu, PLLC
• Samuel Cole Chaffin, MSPT
• Christa Chambers
• Changing Mindsets LTD Company
• Chapel Pharmacy Inc

• Mental Health Counselor in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.