ETHEL JOY RATHER BULLARD-MOORE MT-BC, RYT, LPC
NPI 1275894917
Counselor - Professional in New York, NY
About Ethel Joy Rather Bullard-moore Mt-bc, Ryt, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHEL JOY RATHER BULLARD-MOORE MT-BC, RYT, LPC (NPI 1275894917) is an individual professional provider in New York, New York, licensed in Pennsylvania (PC008089) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ethel Joy Rather Bullard-moore Mt-bc, Ryt, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ethel Joy Bullard-moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Media, PA 19063
- Reassigned Medicare billing, Pennsylvania enrollment
- 353 clinicians in this Medicare group
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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ethel Joy Bullard-moore's NPI number?
The NPI number for Ethel Joy Bullard-moore is 1275894917. It was assigned to this individual provider in the NPPES registry on May 30, 2012.
Where is Ethel Joy Bullard-moore located?
Ethel Joy Bullard-moore practices at 141 W 24th St, New York, NY 10011. The listed phone number is (786) 458-8678.
What is Ethel Joy Bullard-moore's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Ethel Joy Bullard-moore enrolled in Medicare?
Yes. Ethel Joy Bullard-moore is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ethel Joy Bullard-moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ethel Joy Bullard-moore reassigns Medicare benefits to Delaware County Professional Services, Inc (Media, PA). 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 Ethel Joy Bullard-moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ethel Joy Bullard-moore was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Ethel Joy Rather Bullard-Moore, MT-BC, RYT, LPC · NPI 1275894917
Professional provider in New York, New York. Individual provider, active in the CMS NPPES registry since May 30, 2012.
## Identity
- **NPI:** 1275894917 (Entity type: Individual)
- **Enumerated:** May 30, 2012
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** PC008089 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 141 W 24TH ST, New York, NY 10011-1910
- **Phone:** (786) 458-8678
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Delaware County Professional Services, Inc (NPI 1952485864, Media, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** March 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1275894917) · Data from the CMS NPPES public registry.