JENNIFER E BULLARD MA, LPC, PC
NPI 1497064745
Counselor - Professional in Mansfield, TX

Active since October 05, 2010
1751 BROAD PARK CIR S, SUITE 207, MANSFIELD, TX 76063(817) 291-4564(817) 473-7787 Get Directions Write a Review

NPPES record last updated: October 5, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer E Bullard Ma, Lpc, Pc NPPES

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

JENNIFER E BULLARD MA, LPC, PC (NPI 1497064745) is a healthcare organization registered as a professional in Mansfield, Texas and active in the NPI registry since October 2010. The organization lists Jennifer E Bullard, President, as its authorized official.

NPPES Registry Identity

NPI1497064745
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameJENNIFER E BULLARD MA, LPC, PC
Location Address1751 BROAD PARK CIR S, SUITE 207Mansfield, TX 76063-7826
Mailing Address5554 Amistad StFort Worth, TX 76137-5365 · (817) 291-4564 · Fax (817) 473-7787
Fax(817) 473-7787
Organization SubpartNo
Authorized OfficialJennifer E BullardPresident · (817) 291-4564
Enumeration DateOctober 5, 2010
NPI 1497064745 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 TX · 17244
1751 BROAD PARK CIR S, Mansfield, TX 76063

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Community/Behavioral Health
1751 BROAD PARK CIR S, SUITE 207
MANSFIELD, TX 76063
Social Worker (Clinical)
1751 BROAD PARK CIR S
MANSFIELD, TX 76063

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 Jennifer E Bullard Ma, Lpc, PC's NPI number?

The NPI number for Jennifer E Bullard Ma, Lpc, PC is 1497064745. It was assigned to this organization in the NPPES registry on October 5, 2010.

Where is Jennifer E Bullard Ma, Lpc, PC located?

Jennifer E Bullard Ma, Lpc, PC is located at 1751 Broad Park Cir S Suite 207, Mansfield, TX 76063. The listed phone number is (817) 291-4564.

What is Jennifer E Bullard Ma, Lpc, PC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jennifer E Bullard Ma, Lpc, PC was last updated on October 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.