KATIE BULLOCK LMFT
NPI 1437550498
Marriage & Family Therapist in Shasta Lake, CA

Q: What is Katie Bullock's NPI number?

The NPI number for Katie Bullock is 1437550498. It was assigned to this individual provider in the NPPES registry on September 9, 2014.

Q: What is Katie Bullock's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Katie Bullock was last updated on May 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 09, 2014PECOS EnrolledAccepts Medicare Assignment

5232 SHASTA DAM BLVD STE C, SHASTA LAKE, CA 96019(530) 605-4373 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Katie Bullock Lmft NPPES

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

KATIE BULLOCK LMFT (NPI 1437550498) is an individual marriage & family therapist in Shasta Lake, California, licensed in California (106669) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1437550498

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKATIE BULLOCKCredential: LMFT

Location Address5232 SHASTA DAM BLVD STE CShasta Lake, CA 96019-9398

Mailing Address5232 Shasta Dam Blvd Ste CShasta Lake, CA 96019-9398 · (530) 605-4373

Phone(530) 605-4373

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateSeptember 9, 2014

Last NPPES UpdateMay 27, 2021

NPPES CertifiedMarch 24, 2021

✔ NPI 1437550498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 106669

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

5232 SHASTA DAM BLVD STE C, Shasta Lake, CA 96019

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katie Bullock Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163839473

PECOS Enrollment IDI20241029002016

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.

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 Katie Bullock's NPI number?

The NPI number for Katie Bullock is 1437550498. It was assigned to this individual provider in the NPPES registry on September 9, 2014.

Where is Katie Bullock located?

Katie Bullock practices at 5232 Shasta Dam Blvd Ste C, Shasta Lake, CA 96019. The listed phone number is (530) 605-4373.

What is Katie Bullock's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Katie Bullock enrolled in Medicare?

Yes. Katie Bullock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Katie Bullock was last updated on May 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.