TARA A BULKO MA, LPC, NCC
NPI 1992438931
Counselor in Kalamazoo, MI

Q: What is Tara Bulko's NPI number?

The NPI number for Tara Bulko is 1992438931. It was assigned to this individual provider in the NPPES registry on July 7, 2022.

Q: What is Tara Bulko's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Tara Bulko was last updated on October 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 07, 2022PECOS Enrolled

5340 HOLIDAY TER, KALAMAZOO, MI 49009(269) 372-4140 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 3, 2023, Jul 18, 2022, Jul 7, 2022 (3 updates tracked since 2022).

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About Tara A Bulko Ma, Lpc, Ncc NPPES

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

TARA A BULKO MA, LPC, NCC (NPI 1992438931) is an individual counselor in Kalamazoo, Michigan, licensed in Michigan (6401224519) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992438931

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameTARA A BULKOCredential: MA, LPC, NCC

Location Address5340 HOLIDAY TERKalamazoo, MI 49009-2196

Mailing Address6626 Rothbury StPortage, MI 49024-3145 · (269) 352-5684

Phone(269) 372-4140

Sole ProprietorYes

Enumeration DateJuly 7, 2022

Last NPPES UpdateOctober 30, 20243 updates tracked since enumeration

NPPES CertifiedOctober 30, 2024

✔ NPI 1992438931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Licenses✔ Licensed in MI · 6401224519✔ Licensed in MI · 6451022318

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

5340 HOLIDAY TER, Kalamazoo, MI 49009

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Other Identifiers 2

Other6451022318MI · Lara

Other6401224519MI · Lara

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tara A Bulko Ma, Lpc, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MELISSA ANNE BROWN M.A.

Social Worker (Clinical)