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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATHLEEN M BULLARD MS, LPC, SAC
NPI 1033550934
Counselor in Gulfport, FL

Active since July 09, 2013PECOS Enrolled
5135 NEWTON AVE S, GULFPORT, FL 33707(262) 806-1467(262) 661-7702 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 21, 2026, Mar 1, 2025, Mar 15, 2023 and 2 more (5 updates tracked since 2019).

About Kathleen M Bullard Ms, Lpc, Sac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN M BULLARD MS, LPC, SAC (NPI 1033550934) is an individual counselor in Gulfport, Florida and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1033550934
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKATHLEEN M BULLARDCredential: MS, LPC, SAC
Location Address5135 NEWTON AVE SGulfport, FL 33707-4379
Mailing Address5135 Newton Ave SGulfport, FL 33707-4379 · (262) 806-1467 · Fax (262) 661-7702
Phone(262) 806-1467
Fax(262) 661-7702
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 9, 2013
Last NPPES UpdateOctober 20, 20265 updates tracked since enumeration
NPPES CertifiedOctober 20, 2026
✔ NPI 1033550934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 1680-130 (WI)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 6363-125 (WI)
5135 NEWTON AVE S, Gulfport, FL 33707
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Other Identifiers 1

Medicaid1033550934WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Quartz and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathleen M Bullard Ms, Lpc, Sac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022530559
PECOS Enrollment IDI20250313002579
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Kathleen Bullard reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Richard Kneip, Ph.D., P.C.
1,033 mi
Community/Behavioral Health
6548 TOWN CENTER DR STE D
Clarkston, MI 48346
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Richard Kneip Phd PC
  • 44 clinicians in this Medicare group
NPI 1679739700 (800) 693-1916
Kb Counseling & Emdr LLC
1,064 mi
Addiction (Substance Use Disorder)
7918 FREDRICKSBURG CT UNIT 101
Bristol, WI 53104
  • Reassigned Medicare billing, Wisconsin enrollment
NPI 1063993038 (262) 806-1467
West Grove Clinic, Sc
Mental Health (Including Community Mental Health Center)
10012 W. CAPITOL DR. #101
Wauwatosa, WI 53222
  • Reassigned Medicare billing, Wisconsin enrollment
  • 26 clinicians in this Medicare group
NPI 1518167477 (414) 810-4844

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Bullard's NPI number?

The NPI number for Kathleen Bullard is 1033550934. It was assigned to this individual provider in the NPPES registry on July 9, 2013.

Where is Kathleen Bullard located?

Kathleen Bullard practices at 5135 Newton Ave S, Gulfport, FL 33707. The listed phone number is (262) 806-1467.

What is Kathleen Bullard's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Kathleen Bullard enrolled in Medicare?

Yes. Kathleen Bullard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kathleen Bullard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Bullard reassigns Medicare benefits to 3 organizations: Richard Kneip, Ph.D., P.C. (Clarkston, MI), Kb Counseling & Emdr LLC (Bristol, WI) and West Grove Clinic, Sc (Wauwatosa, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Bullard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Bullard accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Quartz and UnitedHealthcare list Kathleen Bullard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathleen Bullard was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.