Active NPI
Michele Bender Bullock, LPC, MFTA
- Professional Counselor
- Hoover, AL
National Provider Identifier
1790458073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4221
- Practice address
- 3129 Harwick Dr
Hoover, AL 35242-4436 - Phone
- (205) 305-4925
- NPI assigned
- Jul 31, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4221 | AL | Primary |
Addresses
Primary practice location
3129 Harwick Dr
Hoover, AL 35242-4436
Mailing address
3129 Harwick Dr
Hoover, AL 35242-4436
Phone (205) 305-4925
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michele@restore-ministries.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627689600000",
"number": "1790458073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3129 HARWICK DR",
"city": "HOOVER",
"state": "AL",
"postal_code": "352424436",
"telephone_number": "205-305-4925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3129 HARWICK DR",
"city": "HOOVER",
"state": "AL",
"postal_code": "352424436",
"telephone_number": "205-305-4925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULLOCK",
"first_name": "MICHELE",
"middle_name": "BENDER",
"credential": "LPC, MFTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-31",
"last_updated": "2021-07-31",
"certification_date": "2021-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "4221",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michele@restore-ministries.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3129 Harwick Dr",
"city": "Hoover",
"state": "AL",
"country_code": "US",
"postal_code": "352424436",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hoover, AL
- Luther Graham Bufford, LPC, NCC, BC-TMH
- Build Physical Therapy and Performance LLC
- Maria Paula Buitrago Diaz, RD
- Bullock Preventive and Family Medicine, LLC
- Gary Morgan Bullock, D.O.
- Kendall Alexis Bungo, RBT
- Racquel Danielle Burch, RDN
- Burge Psychological Services
- Sara Susanne Burks, PHARMD
- Parker Jarecki Burney, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.