Leigh Bulka, MHC

Individual provider Active NPI Mental Health Counselor · Schoharie, NY

NPI 1962860841 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1962860841
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
008522 (NY)
Practice address
113 Park PL
Schoharie, NY 12157-5211
Phone
(518) 295-2031
Fax
(518) 295-8724
NPI assigned
Feb 5, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 008522 NY Yes

Addresses

Primary practice location

113 Park PL
Schoharie, NY 12157-5211

Mailing address

113 Park Place
Schoharie, NY 12157-5210
Phone (518) 295-2031

Other practice location 1

530 Franklin St
Schenectady, NY 12305-2008
Phone (518) 381-8911 ext. 2310

Other identifiers

IdentifierTypeStateIssuer
1386739944OtherNYAETNA
1386739944OtherNYBLUE SHIELD
1386739944OtherNYCDPHP
1386739944OtherNYFIDELIS
00555784MedicaidNY

Other providers in Schoharie, NY

All providers in Schoharie, NY · Mental Health Counselor in New York

Sources for this page

Verify at the official NPI Registry.