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JENNIFER BULLOCK M.ED., M.L.S.P.
NPI 1871747295
Counselor - Mental Health in Philadelphia, PA

Active since November 12, 2008
245 S 16TH ST, PHILADELPHIA, PA 19102(215) 957-5073(215) 887-7369 Get Directions Write a Review

NPPES record last updated: November 12, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Bullock M.ed., M.l.s.p. NPPES

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

JENNIFER BULLOCK M.ED., M.L.S.P. (NPI 1871747295) is an individual mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC004367) and active in the NPI registry since November 2008.

NPPES Registry Identity

NPI1871747295
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER BULLOCKCredential: M.ED., M.L.S.P.
Location Address245 S 16TH STPhiladelphia, PA 19102-3303
Mailing Address245 S 16th StPhiladelphia, PA 19102-3303 · (215) 957-5073 · Fax (215) 887-7369
Phone(215) 957-5073
Fax(215) 887-7369
Sole ProprietorYes
Enumeration DateNovember 12, 2008
✔ NPI 1871747295 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 PA · PC004367
245 S 16TH ST, Philadelphia, PA 19102
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Other Providers at the Same Location NPPES 4

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

JORDAN MARISA ROE BA, MA
Counselor
245 S 16TH ST
PHILADELPHIA, PA 19102
Philadelphia County (267) 255-2813
MODERN RELATIONSHIPS LLC
Social Worker (Clinical)
245 S 16TH ST
PHILADELPHIA, PA 19102
Philadelphia County (401) 575-0177
SUNMED MEDICAL SYSTEMS LLC
Durable Medical Equipment & Medical Supplies
245 S 16TH ST
PHILADELPHIA, PA 19102
Philadelphia County (856) 552-6928
MR. MICHAEL JEREMY GALARRAGA LPC, ATR-BC, CSAC
Counselor (Professional)
245 S 16TH ST
PHILADELPHIA, PA 19102
Philadelphia County (347) 351-9242

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 Bullock's NPI number?

The NPI number for Jennifer Bullock is 1871747295. It was assigned to this individual provider in the NPPES registry on November 12, 2008.

Where is Jennifer Bullock located?

Jennifer Bullock practices at 245 S 16th St, Philadelphia, PA 19102. The listed phone number is (215) 957-5073.

What is Jennifer Bullock's specialty?

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

When was this NPI record last updated?

The NPPES record for Jennifer Bullock was last updated on November 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.