JAMIE BULLOCK
NPI 1316351778
Counselor - Mental Health in Saint Robert, MO
About Jamie Bullock NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMIE BULLOCK (NPI 1316351778) is an individual mental health provider in Saint Robert, Missouri, licensed in Missouri (2014015460) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jamie Bullock is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jamie Bullock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lynchburg, VA 24504
- Reassigned Medicare billing, Virginia enrollment
- 302 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.
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 Jamie Bullock's NPI number?
The NPI number for Jamie Bullock is 1316351778. It was assigned to this individual provider in the NPPES registry on June 13, 2014. The provider is also known as Jamie Lynn Bullock.
Where is Jamie Bullock located?
Jamie Bullock practices at 127 Kale Ct, Saint Robert, MO 65584. The listed phone number is (573) 261-8140.
What is Jamie Bullock's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jamie Bullock enrolled in Medicare?
Yes. Jamie Bullock is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jamie Bullock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jamie Bullock reassigns Medicare benefits to Thrive Counseling LLC (Lynchburg, VA). 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 Jamie Bullock'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 Jamie Bullock was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jamie Bullock · NPI 1316351778
Mental Health provider in Saint Robert, Missouri. Individual provider, active in the CMS NPPES registry since June 13, 2014.
## Identity
- **NPI:** 1316351778 (Entity type: Individual)
- **Enumerated:** June 13, 2014
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 2014015460 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 127 KALE CT, Saint Robert, MO 65584-3816
- **Phone:** (573) 261-8140
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Thrive Counseling LLC (NPI 1215181300, Lynchburg, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 18, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1316351778) · Data from the CMS NPPES public registry.