AMANDA BULLOCK
NPI 1043850811
Counselor - Mental Health in Cheyenne, WY

Active since January 09, 2020Opted out of Medicare · through Jun 3, 2028
2005 WARREN AVE, CHEYENNE, WY 82001(307) 426-4855 Get Directions Write a Review

NPPES record last updated: January 9, 2020. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Amanda Bullock NPPES

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

AMANDA BULLOCK (NPI 1043850811) is an individual mental health provider in Cheyenne, Wyoming, licensed in Wyoming (PPC-1166) and active in the NPI registry since January 2020. She has opted out of Medicare through June 3, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1043850811
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA BULLOCK
Location Address2005 WARREN AVECheyenne, WY 82001-3725
Mailing Address7308 Legacy PkwyCheyenne, WY 82009-8392 · (307) 272-7743
Sole ProprietorNo
Enumeration DateJanuary 9, 2020
✔ NPI 1043850811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WY · PPC-1166
2005 WARREN AVE, Cheyenne, WY 82001

Other Identifiers 1

MedicaidPPC-1166WY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Amanda Bullock has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 3, 2026 through June 3, 2028.

Opt-Out Effective DateJune 3, 2026
Opt-Out In Effect ThroughJune 3, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
2005 WARREN AVE
CHEYENNE, WY 82001

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 Amanda Bullock's NPI number?

The NPI number for Amanda Bullock is 1043850811. It was assigned to this individual provider in the NPPES registry on January 9, 2020.

Where is Amanda Bullock located?

Amanda Bullock practices at 2005 Warren Ave, Cheyenne, WY 82001. The listed phone number is (307) 426-4855.

What is Amanda Bullock's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Amanda Bullock enrolled in Medicare?

No. Amanda Bullock has opted out of Medicare through June 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Amanda Bullock accept?

Health plans from Blue Cross Blue Shield of Wyoming list Amanda Bullock 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 Amanda Bullock was last updated on January 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.