Active NPI
An Bulkens
- Marriage & Family Therapist
- Chico, CA
National Provider Identifier
1841421518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC52746
- Practice address
- 186 E 12TH St
Chico, CA 95928-5737 - Phone
- (530) 231-2970
- NPI assigned
- Jul 29, 2009
- Last updated
- Dec 21, 2018
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC52746 | CA | Primary |
Addresses
Primary practice location
186 E 12TH St
Chico, CA 95928-5737
Mailing address
186 E 12TH St
Chico, CA 95928-5737
Phone (530) 231-2970
Other practice location 1
95 Declaration Dr
Suite 4
Chico, CA 95973-4916
Phone (530) 321-2970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 22, 2024 through Jun 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC52746 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545350400000",
"number": "1841421518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 E 12TH ST",
"city": "CHICO",
"state": "CA",
"postal_code": "959285737",
"telephone_number": "530-231-2970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 E 12TH ST",
"city": "CHICO",
"state": "CA",
"postal_code": "959285737",
"telephone_number": "530-231-2970"
}
],
"practiceLocations": [
{
"address_1": "95 Declaration Dr",
"address_2": "Suite 4",
"address_purpose": "LOCATION",
"city": "Chico",
"state": "CA",
"postal_code": "959734916",
"country_code": "US",
"telephone_number": "530-321-2970",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BULKENS",
"first_name": "AN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-29",
"last_updated": "2018-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC52746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.