Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TJITSKE GAY TUBBERGEN-MAGLIO LCSW
NPI 1235468786
Social Worker - Clinical in Kirksville, MO

Q: What is Tjitske Tubbergen-maglio's NPI number?

The NPI number for Tjitske Tubbergen-maglio is 1235468786. It was assigned to this individual provider in the NPPES registry on December 11, 2009. The provider is also known as Tish Gay Tubbergen Lcsw.

Q: What is Tjitske Tubbergen-maglio's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since December 11, 2009PECOS Enrolled

2015 S HALLIBURTON ST, KIRKSVILLE, MO 63501(573) 777-8300 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 28, 2026, Mar 10, 2026, Jan 26, 2026 (3 updates tracked since 2026).

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About Tjitske Gay Tubbergen-maglio Lcsw NPPES

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

TJITSKE GAY TUBBERGEN-MAGLIO LCSW (NPI 1235468786) is an individual clinical provider in Kirksville, Missouri, licensed in Missouri (2009035747) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kirksville, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1235468786

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameTJITSKE GAY TUBBERGEN-MAGLIOCredential: LCSW

Location Address2015 S HALLIBURTON STKirksville, MO 63501-4646

Mailing Address117 E Washington St, Po Box 360Kirksville, MO 63501-2951 · (660) 665-7805 · Fax (660) 665-7805

Phone(573) 777-8300

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 11, 2009

Last NPPES UpdateJuly 28, 20263 updates tracked since enumeration

NPPES CertifiedJuly 28, 2026

✔ NPI 1235468786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MO · 2009035747

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

2015 S HALLIBURTON ST, Kirksville, MO 63501

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Other Names 1

Professional Name (2)Tish Gay Tubbergen Lcsw

Secondary Practice Location 1

Location 1900 E Laharpe StKirksville, MO 63501-4520 · Phone (660) 665-1962 · Fax (660) 665-3989

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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 and accepts Medicare assignment

Tjitske Gay Tubbergen-maglio Lcsw 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 ID5092183624

PECOS Enrollment IDI20221201001680

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $52.28 – $161.24

Typical copayment $0.00 (range $13.07 – $40.31)

Most-billed visit code NA

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

SUMMER M. NELSON LPC

Counselor (Professional)