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

Q: 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.

Q: What is Jessica Wulsin's specialty?

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

Q: 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.

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: August 02, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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))