Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brent Bullock, LPC

Individual provider Mental Health Counselor · NPI 1659794436

Brent Bullock, LPC is a Mental Health Counselor in Chesapeake, Virginia. Qualified in 2013, 13 years ago. Practices with Sondermind PA, a 72-clinician group and accepts Medicare assignment. Licensed in Virginia and Washington.

Years since qualifying
13
Licensed in
VA, WA
In the registry since
2014
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1100 Battlefield Blvd S Unit 15777
Chesapeake, VA 23328-1231
Phone: (757) 296-0414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0701008190 (VA)
Mental Health Counselor Taxonomy 101YM0800X · Licence LH60712904 (WA)

Record details

NPI number1659794436
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedJanuary 29, 2014
Last updated in NPPESMay 16, 2024
Certification dateMay 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Sondermind Pa — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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