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MRS. GIZELLE MARIE BULLOCK LMHC
NPI 1710245758
Counselor - Mental Health in Heuvelton, NY

Active since April 27, 2012PECOS EnrolledAccepts Medicare Assignment
76 LISBON ST, HEUVELTON, NY 13654(315) 244-0244(315) 254-2811 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Gizelle Marie Bullock Lmhc NPPES

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

MRS. GIZELLE MARIE BULLOCK LMHC (NPI 1710245758) is an individual mental health provider in Heuvelton, New York, licensed in New York (004799) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ogdensburg, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1710245758
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. GIZELLE MARIE BULLOCKCredential: LMHC
Location Address76 LISBON STHeuvelton, NY 13654-3130
Mailing Address76 Lisbon StHeuvelton, NY 13654-3130 · (315) 244-0244 · Fax (315) 254-2811
Phone(315) 244-0244
Fax(315) 254-2811
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateApril 27, 2012
Last NPPES UpdateSeptember 22, 2023
NPPES CertifiedSeptember 22, 2023
✔ NPI 1710245758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 004799
76 LISBON ST, Heuvelton, NY 13654
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Secondary Practice Location 1

Location 11003 Park StOgdensburg, NY 13669-3911 · Phone (315) 713-9090 · Fax (315) 713-9330

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

Mrs. Gizelle Marie Bullock Lmhc 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 ID8224481080
PECOS Enrollment IDI20240129000207
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 Gizelle Bullock's NPI number?

The NPI number for Gizelle Bullock is 1710245758. It was assigned to this individual provider in the NPPES registry on April 27, 2012.

Where is Gizelle Bullock located?

Gizelle Bullock practices at 76 Lisbon St, Heuvelton, NY 13654. The listed phone number is (315) 244-0244.

What is Gizelle Bullock's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Gizelle Bullock enrolled in Medicare?

Yes. Gizelle 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 Gizelle Bullock was last updated on September 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.