Mary Alisa Bullock, LPCA, LCASA, NCC
NPI 1902458037ActiveIndividual· Counselor, Addiction (Substance Use Disorder)· Lexington, NC
Counselor, Addiction (Substance Use Disorder) (LPCA, LCASA, NCC) with Daymark Recovery Services Inc, practicing in Lexington, North Carolina. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1902458037 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPCA, LCASA, NCC |
| Sole proprietor | No |
| NPI issued | Jul 9, 2019 |
| Last updated in NPPES | Dec 1, 2022 |
| Certified by provider | Dec 1, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) Primary | 101YA0400X | LCAS-25659 | NC |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 25659 | NC |
| Counselor, Mental Health | 101YM0800X | A14910 | NC |
| Counselor, Professional | 101YP2500X | 14910 | NC |
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 (NC) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Daymark Recovery Services IncMonroe, NC · 130 clinicians
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