Individual provider Active NPI

Natalie Danielle Bullock, LPC

  • Mental Health Counselor
  • Downsville, LA
National Provider Identifier
1578037024
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7751 Issued in LA
Practice address
4787 Highway 151
Downsville, LA 71234-5145
Phone
(985) 805-6068
Fax
(504) 930-4019
NPI assigned
Jan 17, 2019
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7751 LA
Case Manager/Care Coordinator 171M00000X
Mental Health Counselor 101YM0800X 7751 LA Primary

Addresses

Primary practice location

4787 Highway 151
Downsville, LA 71234-5145

Mailing address

PO Box 792
Bastrop, LA 71221-0792
Phone (318) 283-8887

Other identifiers 1

IdentifierTypeStateIssuer
1417252230MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241024001312 LA Practitioner - Mental Health Counselor 7315470770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

335 Main St
Marion, LA 71260-5253
Phone (318) 283-8887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7751LAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Morehouse Community Medical Centers, Inc. Current Accepting new patients
Morehouse Community Medical Centers, Inc CurrentSince Oct 15, 2024 Accepting new patients
Morehouse Community Medical Centers, Inc. CurrentSince Oct 15, 2024 Accepting new patients
Volunteers of America of North Louisiana PastSince Sep 1, 2020 Accepting new patients
Merakey Pennsylvania Past Accepting new patients
Merakey Pennsylvania Past Accepting new patients

Locations

1001 W Madison Ave
Bastrop, LA 71220
Phone (318) 281-8422

314 N Franklin St
Bastrop, LA 71220
Phone (318) 239-8045

402 Highland Ave
Bastrop, LA 71220
Phone (318) 239-3883

501 Durham St
Bastrop, LA 71220
Phone (318) 281-2008

518 Durham St
Bastrop, LA 71220
Phone (318) 556-3333

4787 Highway 151
Downsville, LA 71234
Phone (985) 805-6068

1126 Marion Hwy
Farmerville, LA 71241
Phone (318) 327-3550

335 Main St
Marion, LA 71260
Phone (318) 292-2795

108 N 16th St
Mer Rouge, LA 71261
Phone (318) 239-8010

1825 N 18th St
Monroe, LA 71201
Phone (318) 322-7999

681 Highway 594
Monroe, LA 71203
Phone (318) 381-0140

801 Stubbs Ave
Ste C
Monroe, LA 71201
Phone (318) 509-8172

100 Price Dr
West Monroe, LA 71292
Phone (318) 325-0973

201 Riggs St
West Monroe, LA 71291
Phone (318) 323-3771

420 Wheelis St
West Monroe, LA 71292
Phone (318) 235-3661

Interoperability endpoints

  • Direct secure messaging: natalie.bullock.1@11502.direct.athenahealth.com

Organizations & group practices 6

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": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1578037024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712210792",
            "telephone_number": "318-283-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4787 HIGHWAY 151",
            "city": "DOWNSVILLE",
            "state": "LA",
            "postal_code": "712345145",
            "telephone_number": "985-805-6068",
            "fax_number": "504-930-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "NATALIE",
        "middle_name": "DANIELLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "7751",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "7751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417252230",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downsville, LA

Sources for this page

Verify at the official NPI Registry.