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CHARLES R. BULMAN LADC, LPCC
NPI 1205252558
Counselor - Mental Health in White Bear Lake, MN

Active since March 11, 2014PECOS Enrolled
4505 WHITE BEAR PKWY STE 1500, WHITE BEAR LAKE, MN 55110(651) 493-8150(651) 493-9335 Get Directions Write a Review

NPPES record last updated: December 4, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 4, 2019, Mar 6, 2019 (2 updates tracked since 2019).

About Charles R. Bulman Ladc, Lpcc NPPES

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

CHARLES R. BULMAN LADC, LPCC (NPI 1205252558) is an individual mental health provider in White Bear Lake, Minnesota, licensed in Minnesota (CC1392) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1205252558
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCHARLES R. BULMANCredential: LADC, LPCC
Location Address4505 WHITE BEAR PKWY STE 1500White Bear Lake, MN 55110-3697
Mailing Address1426 Simpson StSaint Paul, MN 55108-2440 · (612) 296-0348
Phone(651) 493-8150
Fax(651) 493-9335
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 11, 2014
Last NPPES UpdateDecember 4, 20192 updates tracked since enumeration
✔ NPI 1205252558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · CC1392
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 303359 (MN)
4505 WHITE BEAR PKWY STE 1500, White Bear Lake, MN 55110
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11315 Penn Avenue North, Northpoint Health and Wellness, Inc.Minneapolis, MN 55411 · Phone (612) 767-9157
Location 2714 Park Ave.Minneapolis, MN 55404 · Phone (612) 954-2000 · Fax (612) 594-2030

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles R. Bulman Ladc, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204963739
PECOS Enrollment IDI20240113000106
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 Reassignment

Medicare enrollment records show Charles Bulman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Alliance For Healing PA
Same address
Clinical
4505 WHITE BEAR PKWY STE 1500
White Bear Lake, MN 55110
  • Reassigned Medicare billing, Minnesota enrollment
  • 9 clinicians in this Medicare group
NPI 1275967374 (651) 493-8150

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

Other Providers at the Same Location NPPES 5

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

CONNIE TOAVS MSW, LICSW
Social Worker (Clinical)
4505 WHITE BEAR PKWY STE 1500
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 493-8150
ALLIANCE FOR HEALING PA
Social Worker (Clinical)
4505 WHITE BEAR PKWY STE 1500
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 493-8150
DIANE LYNN HOVEY
Marriage & Family Therapist
4505 WHITE BEAR PKWY STE 1500
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 493-8150
IRIS HEIEREN MA, LAMFT
Counselor (Mental Health)
4505 WHITE BEAR PKWY STE 1500
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 792-5743
ANDREA LEIGH WALKER
Counselor (Mental Health)
4505 WHITE BEAR PKWY STE 1500
WHITE BEAR LAKE, MN 55110
Ramsey County (514) 938-1506

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 Charles Bulman's NPI number?

The NPI number for Charles Bulman is 1205252558. It was assigned to this individual provider in the NPPES registry on March 11, 2014.

Where is Charles Bulman located?

Charles Bulman practices at 4505 White Bear Pkwy Ste 1500, White Bear Lake, MN 55110. The listed phone number is (651) 493-8150.

What is Charles Bulman's specialty?

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

Is Charles Bulman enrolled in Medicare?

Yes. Charles Bulman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charles Bulman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Bulman reassigns Medicare benefits to Alliance For Healing PA (White Bear Lake, MN). The 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 Charles Bulman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Bulman accept?

Health plans from HealthPartners list Charles Bulman 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 Charles Bulman was last updated on December 4, 2019. 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.