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JESSICA KATHLEEN BAKULA
NPI 1104610872
Counselor - Professional in Sullivan, MO

Active since April 08, 2025PECOS Enrolled
101 PROGRESS PKWY, SULLIVAN, MO 63080(844) 853-8937 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Kathleen Bakula NPPES

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

JESSICA KATHLEEN BAKULA (NPI 1104610872) is an individual professional provider in Sullivan, Missouri, licensed in Missouri (2025009346) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104610872
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESSICA KATHLEEN BAKULA
Location Address101 PROGRESS PKWYSullivan, MO 63080-2359
Mailing Address1800 CommunityClinton, MO 64735-8804 · (660) 885-8131
Phone(844) 853-8937
Sole ProprietorNo
Enumeration DateApril 8, 2025
NPPES CertifiedApril 8, 2025
✔ NPI 1104610872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2025009346
101 PROGRESS PKWY, Sullivan, MO 63080
Open in Google Maps ↗

Other Names 1

Former Name (1)Jessica Kathleen Mantia

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Medica, Oscar Insurance Company and more.Insurance ›

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 Kathleen Bakula 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.

DR. FELIPE ELJAIEK M.D.
Internal Medicine
101 PROGRESS PKWY
SULLIVAN, MO 63080
Franklin County (573) 468-3555
KHURSHEED ZIA M.D.
Psychiatry & Neurology (Psychiatry)
101 PROGRESS PKWY
SULLIVAN, MO 63080
Franklin County (888) 403-1071
DR. PATRICIA HINKLE M.D.
Family Medicine
101 PROGRESS PKWY
SULLIVAN, MO 63080
Franklin County (888) 403-1071
SARAH ELIZABETH PRICE LPC
Counselor (Professional)
101 PROGRESS PKWY
SULLIVAN, MO 63080
Franklin County (844) 853-8937
TONI MARIE GLOVER LPN
Licensed Practical Nurse
101 PROGRESS PKWY
SULLIVAN, MO 63080
Franklin County (573) 364-7551
DANIELLE BEALMEAR LPC
Counselor (Professional)
101 PROGRESS PKWY
SULLIVAN, MO 63080
Franklin County (888) 403-1071
SANDRA RACHELE SUMNER RDH
Dental Hygienist
101 PROGRESS PKWY
SULLIVAN, MO 63080
Franklin County (844) 853-8937
DR. RAYSHAM HAYAT DDS
Dentist (General Practice)
101 PROGRESS PKWY
SULLIVAN, MO 63080
Franklin County (844) 853-8937

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 Bakula's NPI number?

The NPI number for Jessica Bakula is 1104610872. It was assigned to this individual provider in the NPPES registry on April 8, 2025. The provider is also known as Jessica Kathleen Mantia.

Where is Jessica Bakula located?

Jessica Bakula practices at 101 Progress Pkwy, Sullivan, MO 63080. The listed phone number is (844) 853-8937.

What is Jessica Bakula's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jessica Bakula enrolled in Medicare?

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

What insurance does Jessica Bakula accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Medica, Oscar Insurance Company and UnitedHealthcare list Jessica Bakula 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 Jessica Bakula was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.