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CASEY JO TULLY MA, NCC, LPC
NPI 1174827455
Counselor - Professional in San Antonio, TX

Active since December 31, 2010PECOS Enrolled
85 NE LOOP 410 STE 223, SAN ANTONIO, TX 78216(210) 552-0985 Get Directions Write a Review

NPPES record last updated: December 10, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 10, 2023, May 25, 2021 (2 updates tracked since 2021).

About Casey Jo Tully Ma, Ncc, Lpc NPPES

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

CASEY JO TULLY MA, NCC, LPC (NPI 1174827455) is an individual professional provider in San Antonio, Texas, licensed in Texas (65156) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174827455
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCASEY JO TULLYCredential: MA, NCC, LPC
Location Address85 NE LOOP 410 STE 223San Antonio, TX 78216-5836
Mailing Address25343 Longbranch RunSan Antonio, TX 78261-2988 · (210) 552-0985
Phone(210) 552-0985
Sole ProprietorYes
Enumeration DateDecember 31, 2010
Last NPPES UpdateDecember 10, 20232 updates tracked since enumeration
NPPES CertifiedDecember 10, 2023
✔ NPI 1174827455 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 TX · 65156
85 NE LOOP 410 STE 223, San Antonio, TX 78216
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Casey Jo Tully Ma, Ncc, Lpc 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 Reassignments

2

Medicare enrollment records show Casey Tully reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

It's Life Counseling And Wellness PLLC
Same address
Professional
85 NE LOOP 410 STE 223
San Antonio, TX 78216
  • Reassigned Medicare billing, Texas enrollment
NPI 1578138236 (210) 552-0985
Best Practices Bhom
1,550 mi
Clinical
81 CROOKED STICK RD
Jackson, NJ 08527
  • Reassigned Medicare billing, Texas enrollment
NPI 1477070761 (848) 218-0790

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 3

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

VIRTUOUS COUNSELING CENTER, PLLC
Clinic/Center (Adult Mental Health)
85 NE LOOP 410 STE 223
SAN ANTONIO, TX 78216
Bexar County (210) 637-3373
IT'S LIFE COUNSELING AND WELLNESS PLLC
Counselor (Professional)
85 NE LOOP 410 STE 223
SAN ANTONIO, TX 78216
Bexar County (210) 552-0985
VALERIE HANNOR M.A, LPC
Counselor (Mental Health)
85 NE LOOP 410 STE 223
SAN ANTONIO, TX 78216
Bexar County (210) 637-3373

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 Casey Tully's NPI number?

The NPI number for Casey Tully is 1174827455. It was assigned to this individual provider in the NPPES registry on December 31, 2010.

Where is Casey Tully located?

Casey Tully practices at 85 NE Loop 410 Ste 223, San Antonio, TX 78216. The listed phone number is (210) 552-0985.

What is Casey Tully's specialty?

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

Is Casey Tully enrolled in Medicare?

Yes. Casey Tully is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Casey Tully's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Casey Tully reassigns Medicare benefits to 2 organizations: It's Life Counseling And Wellness PLLC (San Antonio, TX) and Best Practices Bhom (Jackson, NJ). Each 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 Casey Tully's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Casey Tully accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Casey Tully 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 Casey Tully was last updated on December 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.