Individual provider Active NPI

Randolph James Bulpin, M.A.

  • Mental Health Counselor
  • Hardwick, VT
National Provider Identifier
1740506500
Registry record updated Dec 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068.0057724 Issued in VT
Practice address
144 S Main St
Hardwick, VT 05843-7046
Phone
(802) 535-6160
NPI assigned
Apr 19, 2010
Last updated
Dec 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 068.0057724 VT Primary

Addresses

Primary practice location

144 S Main St
Hardwick, VT 05843-7046

Mailing address

PO Box 71
Hardwick, VT 05843-0071
Phone (802) 535-6160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20240126001926 VT Practitioner - Mental Health Counselor 2466805346 Practice locations: Hardwick, VT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

144 S Main St
Hardwick, VT 05843-7046
Phone (802) 535-6160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Randy J. Bulpin Counseling Inc. CurrentSince Dec 10, 2023 Accepting new patients

Organizations & group practices 1

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": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701561600000",
    "number": "1740506500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71",
            "city": "HARDWICK",
            "state": "VT",
            "postal_code": "058430071",
            "telephone_number": "802-535-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 S MAIN ST",
            "city": "HARDWICK",
            "state": "VT",
            "postal_code": "058437046",
            "telephone_number": "802-535-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULPIN",
        "first_name": "RANDOLPH",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-19",
        "last_updated": "2023-12-03",
        "certification_date": "2023-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0057724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hardwick, VT

Sources for this page

Verify at the official NPI Registry.