IndividualActive
Dominique Bullocks
NPI 1568105575 · Mental Health Counselor · Jackson, MS
Dominique Bullocks is a Mental Health Counselor provider in Jackson, MS (NPI 1568105575).
Provider details
- NPI number
- 1568105575
- 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(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% 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
4780 I 55 N Ste 105
Jackson, MS 39211-5542
Phone: (601) 956-4816
Fax: (601) 956-4817
Approximate (ZIP-level) locationGet directions
Mailing address
4780 I 55 N Ste 105
Jackson, MS 39211-5542
Registry dates
- Enumerated
- 2022-04-18
- Last updated
- 2022-04-18
- Certified
- 2022-04-18
Frequently asked questions
- What is Dominique Bullocks's NPI number?
- Dominique Bullocks's National Provider Identifier (NPI) is 1568105575, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dominique Bullocks's specialty?
- Dominique Bullocks is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Dominique Bullocks located?
- Dominique Bullocks's practice location on file with NPPES is 4780 I 55 N Ste 105, Jackson, MS 39211-5542.
- What is Dominique Bullocks's phone number?
- The practice phone number listed in the NPPES registry for Dominique Bullocks is (601) 956-4816.
- Is Dominique Bullocks's NPI active?
- Yes — Dominique Bullocks's NPI (1568105575) is active in the NPPES registry as of the last update on 2022-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.