JACQUELIN SHAHENE LEWIS PULLIAM
NPI 1093602070
Counselor - Mental Health in Houston, TX
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Jacquelin Pulliam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Houston, TX 77074
- Reassigned Medicare billing, Texas enrollment
- 232 clinicians in this Medicare group
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.
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.
Which organization bills Medicare for Jacquelin Pulliam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelin Pulliam reassigns Medicare benefits to The Harris Center For Mental Health And Idd (Houston, TX). 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 Jacquelin Pulliam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacquelin Pulliam accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers 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 11 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.
# Jacquelin Shahene Lewis Pulliam · NPI 1093602070
Mental Health provider in Houston, Texas. Individual provider, active in the CMS NPPES registry since June 21, 2025.
## Identity
- **NPI:** 1093602070 (Entity type: Individual)
- **Enumerated:** June 21, 2025
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 87972 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 5901 LONG DR, Houston, TX 77087-1003
- **Phone:** (832) 962-1868
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** The Harris Center For Mental Health And Idd (NPI 1346293156, Houston, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1093602070) · Data from the CMS NPPES public registry.