Kellie Ann Bullard, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3549 Issued in AL

Practice address

1925 Military St S Ste 1a
Hamilton, AL 35570-6675

Phone

(205) 430-2771

Fax

(205) 430-2771

NPI assigned

Jul 25, 2014

Last updated

Jan 22, 2020By the provider in NPPES

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

• Kellie Belue Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Remedy Behavioral Health LLCGroup PAC ID 3375958853, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Remedy Behavioral Health, LLC

  dba Remedy Behavioral Health

  • Psychiatry Physician
  • Florence, AL
  • NPI 1013517317
  Medicare reassignment Care Compare group NPD
• Comfort Counseling, LLC

  • Mental Health Counselor
  • Hamilton, AL
  • NPI 1871133512
  NPD Authorized official
• Shoals NP Homecare, LLC

  • Home Health Agency
  • Town Creek, AL
  • NPI 1083178818
  NPD
• Phoenix Counseling and Resources, LLC

  • Community/Behavioral Health Agency
  • Florence, AL
  • NPI 1144839408
  NPD (past)
• Remedy Healthcare LLC

  • Internal Medicine Physician
  • Florence, AL
  • NPI 1477233476
  NPD (past)
• Serenus Senior Care Advisors PLLC

  dba Serenus Neuropsychiatry Associates

  • Psychiatric/Mental Health Nurse Practitioner
  • Florence, AL
  • NPI 1154860153
  NPD (past)

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1992113666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 COUNTY HIGHWAY 29",
            "city": "HAMILTON",
            "state": "AL",
            "postal_code": "355706343",
            "telephone_number": "205-430-2771",
            "fax_number": "205-430-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 MILITARY ST S STE 1A",
            "city": "HAMILTON",
            "state": "AL",
            "postal_code": "355706675",
            "telephone_number": "205-430-2771",
            "fax_number": "205-430-2771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 Deer Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Killen",
            "state": "AL",
            "postal_code": "356458382",
            "country_code": "US",
            "telephone_number": "256-412-4478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "KELLIE",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-25",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "3549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://comfort-counseling.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "secure client portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1925 Military St S Ste 1A",
            "city": "Hamilton",
            "state": "AL",
            "country_code": "US",
            "postal_code": "355706675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://comfort-counseling.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "Simple Practice",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1925 Military St S Ste 1A",
            "city": "Hamilton",
            "state": "AL",
            "country_code": "US",
            "postal_code": "355706675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELLIE",
            "last_name": "BELUE",
            "credential": "ALC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in Hamilton, AL
• Providers in Hamilton, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.