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DR. JOSEPH E BULLOCK JR. LCPC,LPC
NPI 1679170724
Counselor - Professional in Newtown, VA

Active since October 01, 2020PECOS EnrolledAccepts Medicare Assignment
11903 NEWTOWN RD, NEWTOWN, VA 23126(703) 615-2582 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2025, Aug 8, 2025, Oct 1, 2020 (3 updates tracked since 2020).

About Dr. Joseph E Bullock Jr. Lcpc,lpc NPPES

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

DR. JOSEPH E BULLOCK JR. LCPC,LPC (NPI 1679170724) is an individual professional provider in Newtown, Virginia, licensed in Maryland (LCO877) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Arlington, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1679170724
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. JOSEPH E BULLOCK JR.Credential: LCPC,LPC
Location Address11903 NEWTOWN RDNewtown, VA 23126-2041
Mailing AddressPo Box 863Severn, MD 21144-0863 · (703) 615-2582
Phone(703) 615-2582
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateOctober 1, 2020
Last NPPES UpdateNovember 4, 20253 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
✔ NPI 1679170724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in MD · LCO877✔ Licensed in DC · PRC14807
11903 NEWTOWN RD, Newtown, VA 23126
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Secondary Practice Location 1

Location 15303 Langston BlvdArlington, VA 22207-1607 · Phone (703) 615-2582

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

Dr. Joseph E Bullock Jr. Lcpc,lpc 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 ID5991155475
PECOS Enrollment IDI20231225000100
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 Joseph Bullock's NPI number?

The NPI number for Joseph Bullock is 1679170724. It was assigned to this individual provider in the NPPES registry on October 1, 2020.

Where is Joseph Bullock located?

Joseph Bullock practices at 11903 Newtown Rd, Newtown, VA 23126. The listed phone number is (703) 615-2582.

What is Joseph Bullock's specialty?

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

Is Joseph Bullock enrolled in Medicare?

Yes. Joseph 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 Joseph Bullock was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.