Kathleen M Bullard, MS, LPC, SAC
Kathleen M Bullard, MS, LPC, SAC is a Mental Health Counselor in Bristol, Wisconsin. Qualified in 2013, 13 years ago. Practices with West Grove Clinic SC, a 15-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.
- Years since qualifying
- 13
- Licensed in
- WI
- In the registry since
- 2013
- Specialties on file
- 3
What do these letters mean?
Practice location Address checks out
7918 Fredricksburg Ct Unit 101Bristol, WI 53104-8720
Phone: (262) 806-1467
Fax: (262) 661-7702
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 1680-130 (WI) |
| Professional Counselor | Taxonomy 101YP2500X · Licence 6363-125 (WI) |
Record details
| NPI number | 1033550934 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MS , LPC , SAC |
| Sole proprietor | Yes |
| NPI enumerated | July 9, 2013 |
| Last updated in NPPES | February 24, 2026 |
| Certification date | February 24, 2026 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Group practice | West Grove Clinic Sc — 15 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
Other providers in Bristol
-
Kb Counseling & Emdr LLC
7918 Fredricksburg Ct Unit 101, Bristol, WI 53104-8720 · (262) 806-1467