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MICAH J BULLOCH LCSW
NPI 1679082952
Social Worker - Clinical in Cedar City, UT

Active since September 29, 2017PECOS EnrolledAccepts Medicare Assignment
245 E 680 S, CEDAR CITY, UT 84720(435) 867-7654(435) 867-7699 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Micah J Bulloch Lcsw NPPES

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

MICAH J BULLOCH LCSW (NPI 1679082952) is an individual clinical provider in Cedar City, Utah, licensed in Utah (8765778-3501) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2018).

NPPES Registry Identity

NPI1679082952
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMICAH J BULLOCHCredential: LCSW
Location Address245 E 680 SCedar City, UT 84720-3593
Mailing Address2505 Idlewilde DrMidland, TX 79707-6120 · (435) 868-8405 · Fax (435) 986-8700
Phone(435) 867-7654
Fax(435) 867-7699
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2018
Enumeration DateSeptember 29, 2017
Last NPPES UpdateApril 7, 2026
NPPES CertifiedApril 7, 2026
✔ NPI 1679082952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in UT · 8765778-3501✔ Licensed in TX · 107800✔ Licensed in ID · 8371889
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
245 E 680 S, Cedar City, UT 84720
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Micah J Bulloch Lcsw 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 ID7214383298
PECOS Enrollment IDI20231026004269
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.

Medicare Billing Reassignment

Medicare enrollment records show Micah Bulloch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Roots Counseling And Assessments
3.0 mi
Mental Health
1760 N MAIN ST
Cedar City, UT 84721
  • Reassigned Medicare billing, Utah enrollment
  • 5 clinicians in this Medicare group
NPI 1588172068 (435) 359-2460

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MRS. KRISTIN KOLLE TAYLOR LCSW
Social Worker
245 E 680 S
CEDAR CITY, UT 84720
Iron County (435) 559-0782
REBECCA HURD
Case Manager/Care Coordinator
245 E 680 S
CEDAR CITY, UT 84720
Iron County (435) 867-7654
BILLIE JO JERGINS FARNSWORTH SSW
Social Worker
245 E 680 S
CEDAR CITY, UT 84720
Iron County (435) 867-7654
CATHERINE CROFT
Counselor
245 E 680 S
CEDAR CITY, UT 84720
Iron County (435) 867-7654
TRACY TALBOT
Technician, Other
245 E 680 S
CEDAR CITY, UT 84720
Iron County (435) 867-7654
BRITTINI MARIE ROGERS
Technician, Other
245 E 680 S
CEDAR CITY, UT 84720
Iron County (435) 867-7654
KEVIN SCOTT KIRSCHENMANN LCSW
Social Worker (Clinical)
245 E 680 S
CEDAR CITY, UT 84720
Iron County (435) 867-7654
BRITTANY A LEE
Student in an Organized Health Care Education/Training Program
245 E 680 S
CEDAR CITY, UT 84720
Iron County (435) 867-7654

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 Micah Bulloch's NPI number?

The NPI number for Micah Bulloch is 1679082952. It was assigned to this individual provider in the NPPES registry on September 29, 2017.

Where is Micah Bulloch located?

Micah Bulloch practices at 245 E 680 S, Cedar City, UT 84720. The listed phone number is (435) 867-7654.

What is Micah Bulloch's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Micah Bulloch enrolled in Medicare?

Yes. Micah Bulloch 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.

Which organization bills Medicare for Micah Bulloch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Micah Bulloch reassigns Medicare benefits to Roots Counseling And Assessments (Cedar City, UT). 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 Micah Bulloch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Micah Bulloch accept?

Health plans from Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Micah Bulloch 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 Micah Bulloch was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.