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JESSICA ROSE WULSIN MA
NPI 1063870996
Counselor - Mental Health in Stockton, CA

Active since February 06, 2016PECOS Enrolled
620 N AURORA ST, STOCKTON, CA 95202(415) 420-2535 Get Directions Write a Review

NPPES record last updated: May 13, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 13, 2021, Mar 15, 2016, Feb 6, 2016 (3 updates tracked since 2016).

About Jessica Rose Wulsin Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA ROSE WULSIN MA (NPI 1063870996) is an individual mental health provider in Stockton, California, licensed in California (105591) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063870996
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSICA ROSE WULSINCredential: MA
Location Address620 N AURORA STStockton, CA 95202-2276
Mailing Address1212 N California St # 1552Stockton, CA 95202-1552 · (415) 420-2535
Phone(415) 420-2535
Sole ProprietorNo
Enumeration DateFebruary 6, 2016
Last NPPES UpdateMay 13, 20213 updates tracked since enumeration
NPPES CertifiedMay 13, 2021
✔ NPI 1063870996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 105591
620 N AURORA ST, Stockton, CA 95202
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Rose Wulsin Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Wulsin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
55 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICKI LYNN MOSQUEDA ELDRED
Counselor (Addiction (Substance Use Disorder))
620 N AURORA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-6857
ARIEONNE RENEE FORD
Community Health Worker
620 N AURORA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-9377
MEGAN SANCHEZ LPT
Licensed Psychiatric Technician
620 N AURORA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8931
ALLIE BIPPUS THW
Day Training/Habilitation Specialist
620 N AURORA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-9370
JASMINE DOMINO
Day Training/Habilitation Specialist
620 N AURORA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-9370
MICHELLE JOSEPHINE BAGDONAS
Counselor (Addiction (Substance Use Disorder))
620 N AURORA ST, SUITE 1
STOCKTON, CA 95202
San Joaquin County (209) 468-3720
ROLAND EDWARD ANDERSON
Behavior Analyst
620 N AURORA ST, SUITE 1
STOCKTON, CA 95202
San Joaquin County (209) 468-8931
MS. ROQUETA YUSAY HARVEY
Counselor (Addiction (Substance Use Disorder))
620 N AURORA ST, SUIT 1
STOCKTON, CA 95202
San Joaquin County (209) 468-3725

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Wulsin's NPI number?

The NPI number for Jessica Wulsin is 1063870996. It was assigned to this individual provider in the NPPES registry on February 6, 2016.

Where is Jessica Wulsin located?

Jessica Wulsin practices at 620 N Aurora St, Stockton, CA 95202. The listed phone number is (415) 420-2535.

What is Jessica Wulsin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jessica Wulsin enrolled in Medicare?

Yes. Jessica Wulsin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Wulsin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Wulsin reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Wulsin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Wulsin was last updated on May 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.