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Amanda Bullock

NPI 1043850811ActiveIndividual· Counselor, Mental Health· Cheyenne, WY

Opted out of Medicare from June 2026 to June 2028. Counselor, Mental Health in Cheyenne, Wyoming, licensed in WY, with an NPI issued in January 2020.

Overview

NPI1043850811
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJan 9, 2020
Last updated in NPPESJan 9, 2020
Certified by providerJan 9, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Counselor, Mental Health Primary101YM0800XPPC-1166WY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Jun 3, 2026 – Jun 3, 2028
Can order and referYes

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare sources and data years

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