CHARLES R. BULMAN (LADC, LPCC) – Mental Health Counselor, NPI 1205252558

CHARLES R. BULMAN (LADC, LPCC) is a healthcare provider. based in Minneapolis, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LADC, LPCC. They hold a License No. 303359 (MN). The NPI Number for CHARLES R. BULMAN (LADC, LPCC) is 1205252558

Main info

Male
Sole Proprietor
13 Years Of Experience
Name
CHARLES R. BULMAN (LADC, LPCC)
NPI
1205252558
Phone
(612) 767-9157
Address
1315 Penn Avenue North
Enumeration Date
11 March 2014
Last Update Date
4 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6514938150
Graduation Year
2013 (13 years ago)
PAC ID
6204963739
Group Practice PAC ID
3173832722
Professional Enrollment ID
I20240113000106
Address ID
MN551103697WH4505XPKWY401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:12State licenses:2Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for CHARLES R. BULMAN (LADC, LPCC)

  • 1315 Penn Avenue North

    Northpoint Health and Wellness, Inc.

    Minneapolis, MN 55411

    Phone: (612) 767-9157

    Type: Location

  • 714 Park Ave.

    Minneapolis, MN 55404

    Phone: (612) 954-2000

    Fax: (612) 594-2030

    Type: Location

  • 1426 SIMPSON ST

    SAINT PAUL, MN 551082440

    Phone: (612) 296-0348

    Type: Mailing

  • 4505 WHITE BEAR PKWY STE 1500

    WHITE BEAR LAKE, MN 551103697

    Phone: (651) 493-8150

    Fax: (651) 493-9335

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240113000106IMental Health CounselorMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55411)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173832722View full group profile
NameSpecialtyState
Marriage And Family TherapistMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Clinical Social WorkerMN
Marriage And Family TherapistMN

Reviews

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Frequently asked questions

What is the registry number for CHARLES R. BULMAN (LADC, LPCC)?
The registry entry for CHARLES R. BULMAN (LADC, LPCC) shows NPI 1205252558.
Should I treat CHARLES R. BULMAN (LADC, LPCC) as an active provider?
Patients and plans typically see CHARLES R. BULMAN (LADC, LPCC) as active in the national extract.
What does the directory say CHARLES R. BULMAN (LADC, LPCC) does?
Insurance directories may phrase it differently, but here CHARLES R. BULMAN (LADC, LPCC) maps to Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What city is tied to CHARLES R. BULMAN (LADC, LPCC)?
The directory associates CHARLES R. BULMAN (LADC, LPCC) with Minneapolis, Minnesota. Check all listed addresses for suites or satellite offices.
Why is information missing for CHARLES R. BULMAN (LADC, LPCC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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