COREY PULFORD
NPI 1962048090
Counselor - Mental Health in Pensacola, FL

Active since November 25, 2019Opted out of Medicare · through Jun 11, 2028
4400 BAYOU BLVD STE 8D, PENSACOLA, FL 32503(850) 474-9882 Get Directions Write a Review

NPPES record last updated: November 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 16, 2022, Nov 25, 2019 (2 updates tracked since 2019).

About Corey Pulford NPPES

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

COREY PULFORD (NPI 1962048090) is an individual mental health provider in Pensacola, Florida, licensed in Florida (IMH21513) and active in the NPI registry since November 2019. He has opted out of Medicare through June 11, 2028.

NPPES Registry Identity

NPI1962048090
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCOREY PULFORD
Location Address4400 BAYOU BLVD STE 8DPensacola, FL 32503-1908
Mailing Address4400 Bayou Blvd Ste 8dPensacola, FL 32503-1908 · (850) 474-9882
Sole ProprietorYes
Enumeration DateNovember 25, 2019
Last NPPES UpdateNovember 16, 20222 updates tracked since enumeration
NPPES CertifiedNovember 16, 2022
NPI 1962048090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · IMH21513
Also ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-19-86208 (FL)
4400 BAYOU BLVD STE 8D, Pensacola, FL 32503

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Corey Pulford has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 11, 2026 through June 11, 2028.

Opt-Out Effective DateJune 11, 2026
Opt-Out In Effect ThroughJune 11, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
4400 BAYOU BLVD STE 8D
PENSACOLA, FL 32503

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 Corey Pulford's NPI number?

The NPI number for Corey Pulford is 1962048090. It was assigned to this individual provider in the NPPES registry on November 25, 2019.

Where is Corey Pulford located?

Corey Pulford practices at 4400 Bayou Blvd Ste 8D, Pensacola, FL 32503. The listed phone number is (850) 474-9882.

What is Corey Pulford's specialty?

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

Is Corey Pulford enrolled in Medicare?

No. Corey Pulford has opted out of Medicare through June 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Corey Pulford accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Corey Pulford 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 Corey Pulford was last updated on November 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.