Deborah Bullock Burnette, MA.ED, LPC, LCAS,CCS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4052 LPC Issued in NC

Practice address

852 Country Club Rd
Rocky Mount, NC 27804-1706

Phone

(252) 443-4401

Fax

(252) 972-4502

NPI assigned

Nov 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Mental Health Counselor

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hayson Counseling

  • Addiction (Substance Use Disorder) Counselor
  • Rocky Mount, NC
  • NPI 1538920608
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1588742696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 COUNTRY CLUB RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278041706",
            "telephone_number": "252-443-4401",
            "fax_number": "252-972-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 COUNTRY CLUB RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278041706",
            "telephone_number": "252-443-4401",
            "fax_number": "252-972-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETTE",
        "first_name": "DEBORAH",
        "middle_name": "BULLOCK",
        "name_prefix": "Mrs.",
        "credential": "MA.ED, LPC, LCAS,CCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "460     LCAS",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "72  CCS",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4052   LPC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Nicole Bullock, LCSWA
• Betsy D. Bulluck, RD,LDN
• Brenda Burgess
• Jane Burian, PHARMD
• Holly Griffin Burkholder, PA-C
• Elizabeth Dawn Burnette, FNP
• Kenya Chante Burton, LCSW-A
• Heather Butler, MEDCCC-SLP
• Moore Bynum
• Kelli Marie Byrd, MSW, LCSWA

• Professional Counselor in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.