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KATHRYN ELIZABETH BULLICK LMFT
NPI 1043917131
Marriage & Family Therapist in Berkeley, CA

Active since February 09, 2023Opted out of Medicare · through Jan 15, 2028
3099 TELEGRAPH AVE, BERKELEY, CA 94705(510) 306-2207 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kathryn Elizabeth Bullick Lmft NPPES

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

KATHRYN ELIZABETH BULLICK LMFT (NPI 1043917131) is an individual marriage & family therapist in Berkeley, California, licensed in California (136292) and active in the NPI registry since February 2023. She has opted out of Medicare through January 15, 2028.

NPPES Registry Identity

NPI1043917131
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKATHRYN ELIZABETH BULLICKCredential: LMFT
Location Address3099 TELEGRAPH AVEBerkeley, CA 94705-2035
Mailing Address4016 Opal St Apt 6Oakland, CA 94609-2684 · (925) 819-0475
Phone(510) 306-2207
Sole ProprietorYes
Enumeration DateFebruary 9, 2023
NPPES CertifiedFebruary 9, 2023
✔ NPI 1043917131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 136292
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
3099 TELEGRAPH AVE, Berkeley, CA 94705
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kathryn Elizabeth Bullick Lmft 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 January 15, 2024 through January 15, 2028.

Opt-Out Effective DateJanuary 15, 2024
Opt-Out In Effect ThroughJanuary 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 19

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

CAMERON MURPHEY
Marriage & Family Therapist
3099 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (510) 438-1960
MARIO DE LA VEGA
Marriage & Family Therapist
3099 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (818) 692-6358
JEAN SHIMOZAKI LCSW
Social Worker (Clinical)
3099 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (510) 845-8830
SHARON LYNN DEAN D.C.
Chiropractor
3099 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (510) 841-8810
PENINSULA COUNSELING AND CONSULTING INC RYAN GARDNER
Social Worker (Clinical)
3099 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (650) 644-4454
DR. STEPHEN ERIC SIENKNECHT PSY.D.
Psychologist (Clinical)
3099 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (415) 570-1067
LORENA PERSWAIN
Marriage & Family Therapist
3099 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (510) 995-6897
KAY GUYER ART THERAPY
Counselor (Mental Health)
3099 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (510) 859-4268

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 Kathryn Bullick's NPI number?

The NPI number for Kathryn Bullick is 1043917131. It was assigned to this individual provider in the NPPES registry on February 9, 2023.

Where is Kathryn Bullick located?

Kathryn Bullick practices at 3099 Telegraph Ave, Berkeley, CA 94705. The listed phone number is (510) 306-2207.

What is Kathryn Bullick's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kathryn Bullick enrolled in Medicare?

No. Kathryn Bullick has opted out of Medicare through January 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kathryn Bullick was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.