IndividualActive
Bertha Bullock, LCSWA
NPI 1174479588 · Mental Health Counselor · Raleigh, NC
Bertha Bullock, LCSWA is a Mental Health Counselor provider in Raleigh, NC (NPI 1174479588).
Provider details
- NPI number
- 1174479588
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LCSWA
- Sex
- Female
- Sole proprietor
- Yes
- License
- P023264 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2472 Tonoloway Dr
Raleigh, NC 27610-7190
Phone: (252) 739-6641
Fax: (252) 739-6641
Street-level locationGet directions
Mailing address
2472 Tonoloway Dr
Raleigh, NC 27610-7190
Registry dates
- Enumerated
- 2026-03-09
- Last updated
- 2026-03-09
- Certified
- 2026-03-08
Frequently asked questions
- What is Bertha Bullock's NPI number?
- Bertha Bullock's National Provider Identifier (NPI) is 1174479588, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bertha Bullock's specialty?
- Bertha Bullock is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Bertha Bullock located?
- Bertha Bullock's practice location on file with NPPES is 2472 Tonoloway Dr, Raleigh, NC 27610-7190.
- What is Bertha Bullock's phone number?
- The practice phone number listed in the NPPES registry for Bertha Bullock is (252) 739-6641.
- Is Bertha Bullock's NPI active?
- Yes — Bertha Bullock's NPI (1174479588) is active in the NPPES registry as of the last update on 2026-03-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.