JACQUELIN SHAHENE LEWIS PULLIAM
NPI 1093602070
Counselor - Mental Health in Houston, TX

Active since June 21, 2025PECOS EnrolledAccepts Medicare Assignment
5901 LONG DR, HOUSTON, TX 77087(832) 962-1868 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2025, Jun 21, 2025 (2 updates tracked since 2025).

About Jacquelin Shahene Lewis Pulliam NPPES

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

JACQUELIN SHAHENE LEWIS PULLIAM (NPI 1093602070) is an individual mental health provider in Houston, Texas, licensed in Texas (87972) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1093602070
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACQUELIN SHAHENE LEWIS PULLIAM
Location Address5901 LONG DRHouston, TX 77087-1003
Mailing Address5901 Long DrHouston, TX 77087-1003
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 21, 2025
Last NPPES UpdateNovember 20, 20252 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
NPI 1093602070 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 TX · 87972
5901 LONG DR, Houston, TX 77087

Secondary Practice Location 1

Location 19401 Southwest FwyHouston, TX 77074-1407 · Phone (713) 970-7000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jacquelin Shahene Lewis Pulliam is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799278206
PECOS Enrollment IDI20251203002352
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.

Counselor (Mental Health)
5901 LONG DR
HOUSTON, TX 77087
Pharmacist (Psychiatric)
5901 LONG DR
HOUSTON, TX 77087
Counselor (Professional)
5901 LONG DR
HOUSTON, TX 77087
Social Worker (Clinical)
5901 LONG DR
HOUSTON, TX 77087
Counselor (Professional)
5901 LONG DR
HOUSTON, TX 77087
Social Worker (Clinical)
5901 LONG DR
HOUSTON, TX 77087
Social Worker (Clinical)
5901 LONG DR
HOUSTON, TX 77087
Counselor (Professional)
5901 LONG DR
HOUSTON, TX 77087

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 Jacquelin Pulliam's NPI number?

The NPI number for Jacquelin Pulliam is 1093602070. It was assigned to this individual provider in the NPPES registry on June 21, 2025.

Where is Jacquelin Pulliam located?

Jacquelin Pulliam practices at 5901 Long Dr, Houston, TX 77087. The listed phone number is (832) 962-1868.

What is Jacquelin Pulliam's specialty?

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

Is Jacquelin Pulliam enrolled in Medicare?

Yes. Jacquelin Pulliam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacquelin Pulliam accept?

Health plans from Oscar Insurance Company list Jacquelin Pulliam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacquelin Pulliam was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.