Kathleen M Bullard, MS, LPC-IT, SAC-IT - Counselor in Kenosha, WI

Kathleen M Bullard, MS, LPC-IT, SAC-IT is a Counselor - Professional based in Kenosha, Wisconsin. Kathleen M Bullard is licensed to practice in Wisconsin (license number 6363-125) and her current practice location is 4003 80th St Ste 101, Kenosha, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (262) 806-1467.

NPI number for Kathleen M Bullard is 1033550934 and her current mailing address is 647 W Main St Ste 900, Lake Geneva, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033550934.

Contact Information

Kathleen M Bullard, MS, LPC-IT, SAC-IT
4003 80th St Ste 101,
Kenosha, WI 53142-4995
(262) 806-1467
(262) 661-7702

Map and Direction


Healthcare Provider's Profile

Full NameKathleen M Bullard
GenderFemale
SpecialityCounselor - Professional
Location4003 80th St Ste 101, Kenosha, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033550934
  • Provider Enumeration Date: 07/09/2013
  • Last Update Date: 03/15/2023

Medical Identifiers

Medical identifiers for Kathleen M Bullard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033550934NPI-NPPES
1033550934MedicaidWI
1063993038MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 1680-130 (Wisconsin)Secondary
101YP2500XCounselor - Professional 6363-125 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen M Bullard is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kathleen M Bullard, MS, LPC-IT, SAC-IT
647 W Main St Ste 900,
Lake Geneva, WI 53147-1985

Ph: (262) 806-1467
Kathleen M Bullard, MS, LPC-IT, SAC-IT
4003 80th St Ste 101,
Kenosha, WI 53142-4995

Ph: (262) 806-1467

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.