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SHANE M. BULLICK MA
NPI 1285295394
Counselor - Mental Health in Syracuse, IN

Active since June 28, 2019PECOS Enrolled
901 S HUNTINGTON ST, SYRACUSE, IN 46567(574) 457-4400 Get Directions Write a Review

NPPES record last updated: June 28, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shane M. Bullick Ma NPPES

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

SHANE M. BULLICK MA (NPI 1285295394) is an individual mental health provider in Syracuse, Indiana and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285295394
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSHANE M. BULLICKCredential: MA
Location Address901 S HUNTINGTON STSyracuse, IN 46567-1923
Mailing Address2621 E Jefferson StWarsaw, IN 46580-3880
Phone(574) 457-4400
Sole ProprietorNo
Enumeration DateJune 28, 2019
✔ NPI 1285295394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
901 S HUNTINGTON ST, Syracuse, IN 46567
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shane M. Bullick Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 12

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

MR. BRANDON BOYD
Counselor (Mental Health)
901 S HUNTINGTON ST
SYRACUSE, IN 46567
Kosciusko County (800) 342-5653
DIANA MAUREEN BYRON LCSW
Social Worker (Clinical)
901 S HUNTINGTON ST
SYRACUSE, IN 46567
Kosciusko County (574) 457-4400
HOPE OWENS
Counselor
901 S HUNTINGTON ST
SYRACUSE, IN 46567
Kosciusko County (574) 457-4400
JAMIE JACOBS
Counselor (Mental Health)
901 S HUNTINGTON ST
SYRACUSE, IN 46567
Kosciusko County (574) 457-4400
MARIA VALERIA GUZMAN
Counselor (Mental Health)
901 S HUNTINGTON ST
SYRACUSE, IN 46567
Kosciusko County (574) 457-4400
MRS. BEVERLY ANN BENNER LCSW
Social Worker (Clinical)
901 S HUNTINGTON ST
SYRACUSE, IN 46567
Kosciusko County (574) 457-4400
STEPHEN GALL MSED
Counselor (Mental Health)
901 S HUNTINGTON ST
SYRACUSE, IN 46567
Kosciusko County (574) 457-4400
ALICIA NOLAN MSED
Counselor (Mental Health)
901 S HUNTINGTON ST
SYRACUSE, IN 46567
Kosciusko County (574) 457-4400

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 Shane Bullick's NPI number?

The NPI number for Shane Bullick is 1285295394. It was assigned to this individual provider in the NPPES registry on June 28, 2019.

Where is Shane Bullick located?

Shane Bullick practices at 901 S Huntington St, Syracuse, IN 46567. The listed phone number is (574) 457-4400.

What is Shane Bullick's specialty?

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

Is Shane Bullick enrolled in Medicare?

Yes. Shane Bullick is registered in the Medicare PECOS enrollment system.

What insurance does Shane Bullick accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Shane Bullick 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 Shane Bullick was last updated on June 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.