Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ethel Joy Rather Bullard-Moore, MT-BC, RYT, LPC

Individual provider Professional Counselor · NPI 1275894917

Ethel Joy Rather Bullard-Moore, MT-BC, RYT, LPC is a Mental Health Counselor in New York, New York. Qualified in 2010, 16 years ago. Works from 2 locations. Licensed in Pennsylvania.

Years since qualifying
16
Licensed in
PA
In the registry since
2012
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

141 W 24th St
New York, NY 10011-1910
Phone: (786) 458-8678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3535 Market St Ste 1230, Philadelphia, PA 19104-6509 — (610) 892-3800

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC008089 (PA)

Record details

NPI number1275894917
Entity typeIndividual (Type 1)
GenderFemale
Credentials MT-BC , RYT , LPC
Sole proprietorNo
NPI enumeratedMay 30, 2012
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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