Mary Alisa Bullock, LPCA, LCASA, NCC
Addiction (Substance Use Disorder) Counselor · Lexington, NC
Mary Alisa Bullock, LPCA, LCASA, NCC is an addiction (substance use disorder) counselor with a practice address in Lexington, North Carolina, and NPI 1902458037, issued on Jul 9, 2019. Check the license (North Carolina LCAS-25659, as entered in NPPES) with the North Carolina board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mary Alisa Bullock
- Credential
- LPCA, LCASA, NCC
- Primary taxonomy
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License numbers
- LCAS-25659 NC
14910 NC
25659 NC
A14910 NC
Self-reported in NPPES; status is on the state search - Practice location
- 1104A S Main St, Lexington, NC 27292
- Phone
- (336) 242-2450
- Enumerated
- Jul 9, 2019
- Record last updated
- Dec 1, 2022
- Medicare enrollment
- Enrolled (PECOS I20240405002656); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest addiction (substance use disorder) counselor records → All 3,066 in North Carolina → Look up another NPI →
Also registered at 1104A S Main St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Graciela Antunez, MS, LCMHCProfessional Counselor1427486679
- Donna Ashworth, LPNLicensed Practical Nurse1912405143
- Chasity Bailey, RNAdult Psychiatric/Mental Health Clinical Nurse Specialist1194225813
- Brianna Braddy, LCSW, LCASAClinical Social Worker1518461854
- Marianne Broadway, LPC, LCASProfessional Counselor1114191582
- Christin Clercin-Watson, LPCAProfessional Counselor1679060446
Verify Mary Alisa Bullock in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich North Carolina board licenses this profession
Search for license LCAS-25659Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Daymark Recovery Services IncMonroe, NC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mary Alisa Bullock among 3,066 addiction (substance use disorder) counselor records in North Carolina
Mary Alisa Bullock, LPCA, LCASA, NCC is one of 3,066 addiction (substance use disorder) counselor records with a practice address in North Carolina. 2% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 57% of them.
- NPI issued2019 · 57% of these records are older, 38% newer
- In a Medicare fileYes · 2% of these records are
- In the CMS Doctors and Clinicians fileYes · 4% of these records are
- Graduated2019 · median 2015 among the 120 with a school on file
- Record last updated2022 · 58% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YA0400X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
30 addiction (substance use disorder) counselor records list a practice address in Lexington
They are 30 of the 659 NPPES records with a practice address in Lexington, and 3,066 addiction (substance use disorder) counselor records in North Carolina.
All 3,066 in North Carolina → Every provider in Lexington → Addiction (Substance Use Disorder) Counselor nationwide →
The 8 addiction (substance use disorder) counselor records with the nearest ZIP codes
- Mary Branch, LCASLexington, NC 272921568711109
- Richard Dunn, CADC-IILexington, NC 272921821538430
- Lukeisha FlowersLexington, NC 272921083257158
- Nicole GenungLexington, NC 272921679042832
- Leroy Glenn, LCASLexington, NC 272921831243054
- Judith Horey, L.C.A.S.Lexington, NC 272921619061959
- Lauren Hubbard, LCAS-A, ATR-PLexington, NC 272921760960850
- Miriam Lyde, LCMHC,LCAS-PLexington, NC 272921194080622
Common questions
What is Mary Alisa Bullock, LPCA, LCASA, NCC's NPI number?
Mary Alisa Bullock, LPCA, LCASA, NCC's National Provider Identifier (NPI) is 1902458037, issued on Jul 9, 2019. An NPI identifies a provider in billing; it is not a license.
Where is Mary Alisa Bullock, LPCA, LCASA, NCC located?
The NPPES record lists a practice address at 1104A S Main St, Lexington, NC, 27292. Phone: (336) 242-2450. Providers update this record themselves, so call before visiting.
How can I verify Mary Alisa Bullock, LPCA, LCASA, NCC's license?
NPPES lists North Carolina license number LCAS-25659, as entered by the provider. Search the North Carolina board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.