1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Counselor
  6. NPI Profile

ETHEL JOY RATHER BULLARD-MOORE MT-BC, RYT, LPC
NPI 1275894917
Counselor - Professional in New York, NY

Active since May 30, 2012PECOS Enrolled
141 W 24TH ST, NEW YORK, NY 10011(786) 458-8678 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2026, Dec 8, 2023 (2 updates tracked since 2023).

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

NPI1275894917
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameETHEL JOY RATHER BULLARD-MOORECredential: MT-BC, RYT, LPC
Location Address141 W 24TH STNew York, NY 10011-1910
Mailing Address141 W 24th StNew York, NY 10011-1910 · (786) 458-8678
Phone(786) 458-8678
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 30, 2012
Last NPPES UpdateMarch 23, 20262 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1275894917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC008089
141 W 24TH ST, New York, NY 10011
Open in Google Maps ↗

Secondary Practice Location 1

Location 13535 Market St Ste 1230Philadelphia, PA 19104-6509 · Phone (610) 892-3800

Medicare Participation & PECOS CMS

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

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).

PECOS PAC ID8325523889
PECOS Enrollment IDI20260401003905
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.

Other Providers at the Same Location NPPES

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

HEATHER BLACKLIDGE LCSW
Social Worker (Clinical)
141 W 24TH ST
NEW YORK, NY 10011
New York County (813) 335-6608

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.

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 4 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.