Kathleen M. Bullard, MS, LPC, SAC
NPI 1033550934ActiveIndividual· Counselor· Gulfport, FL
Counselor (MS, LPC, SAC) with Richard Kneip PHD PC and 1 other group, practicing in Gulfport, Florida. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1033550934 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, LPC, SAC |
| Sole proprietor | Yes |
| NPI issued | Jul 9, 2013 |
| Last updated in NPPES | Oct 20, 2026 |
| Certified by provider | Oct 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X | — | — |
| Counselor, Professional | 101YP2500X | 6363-125 | WI |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 1680-130 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (WI) |
|---|
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
Medical groups
- Richard Kneip PHD PCClarkston, MI · 247 clinicians
- West Grove Clinic SCKenosha, WI · 16 clinicians
Other counselors in Gulfport
- 1316862295
- 1386997096