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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: July 19, 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
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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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

What is Casey Tully's NPI number?

The NPI number assigned to this healthcare provider is 1174827455, enumerated as an "individual" on December 31, 2010.

Where is the provider located?

The provider is located at 85 NE LOOP 410 STE 223 SAN ANTONIO, TX 78216 and the phone number is (210) 552-0985.

What is the provider's specialty?

Counselor with taxonomy code 101YP2500X and a focus in Professional.

What insurance does Casey Tully accept?

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.