IndividualActive
Deidra Bullock
NPI 1215402300 · Mental Health Counselor · Greenwood, MS
Deidra Bullock is a Mental Health Counselor provider in Greenwood, MS (NPI 1215402300).
Provider details
- NPI number
- 1215402300
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
2504 Browning Road 520
Greenwood, MS 38930-6022
Phone: (662) 453-6211
Street-level locationGet directions
Mailing address
2504 Browning Road 520
Greenwood, MS 38930-6022
Additional practice locations (1)
- 2504 Browning Road 520Greenwood, MS 38930-6022Phone: (662) 453-6211
Registry dates
- Enumerated
- 2018-10-04
- Last updated
- 2018-10-04
Frequently asked questions
- What is Deidra Bullock's NPI number?
- Deidra Bullock's National Provider Identifier (NPI) is 1215402300, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Deidra Bullock's specialty?
- Deidra Bullock is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Deidra Bullock located?
- Deidra Bullock's practice location on file with NPPES is 2504 Browning Road 520, Greenwood, MS 38930-6022.
- What is Deidra Bullock's phone number?
- The practice phone number listed in the NPPES registry for Deidra Bullock is (662) 453-6211.
- Is Deidra Bullock's NPI active?
- Yes — Deidra Bullock's NPI (1215402300) is active in the NPPES registry as of the last update on 2018-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.