Brittany Bulfer, MSW QMHP CADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Vienna, IL
NPI 1659800324 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1659800324
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 406 E Vine St
Vienna, IL 62995-1612 - Phone
- (618) 658-3079
- NPI assigned
- Jun 7, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1016 S Madison St
Du Quoin, IL 62832-2442
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260409002064 | IL | Practitioner - Clinical Social Worker | 5890260616 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
406 E Vine St
Vienna, IL 62995-1612
Mailing address
PO Box 1328
Vienna, IL 62995-1328
Phone (618) 658-3079
Other practice location 1
125 N Market St
Golconda, IL 62938-1136
Phone (618) 683-2461
Other providers in Vienna, IL
- Karen Sue Brown Wright
- Bianca Chantal Brown
- Deborah Brown
- Jennifer J Brown
- Sherri A Buchanan
- Brandi Campbell
- John Cantrell
- Lexi Clark
- Fallon Clayton I
- Timothy Michael Corzine
All providers in Vienna, IL · Addiction (Substance Use Disorder) Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.