Elizabeth Joyce Bullard

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

17714 Kings Point Dr Ste B
Cornelius, NC 28031-6929

Phone

(812) 212-3253

NPI assigned

Apr 24, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Joyce Cuttle Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alexander Youth Network

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1518060318
  NPD (past)

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1699462275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8914 RAVEN PARK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282161684",
            "telephone_number": "812-212-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17714 KINGS POINT DR STE B",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316929",
            "telephone_number": "812-212-3253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10210 Hickorywood Hill Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280783345",
            "country_code": "US",
            "telephone_number": "812-212-3253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "ELIZABETH",
        "middle_name": "JOYCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CUTTLE",
            "middle_name": "JOYCE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amber Hartman Brown, PT, DPT
• Frieda Brown, PH.D.
• Pamela Brown
• Scott Buchanan Jr., DO
• Jessica Rhea Buckler
• Connor Burk, PT
• Parker Burns
• Jana Kaye Burson, M.D.
• Anthony W Burwell, OWNER
• Shannon Marie Butler, FNP

• Mental Health Counselor in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.