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SUSAN G BUCKALLEW MED, LPC
NPI 1386952604
Counselor - Professional in Kirksville, MO

Active since September 21, 2010PECOS EnrolledAccepts Medicare Assignment
2015 S HALLIBURTON ST, KIRKSVILLE, MO 63501(660) 626-0698 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 28, 2026, Mar 23, 2026, Jan 27, 2026 and 2 more (5 updates tracked since 2016).

About Susan G Buckallew Med, Lpc NPPES

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

SUSAN G BUCKALLEW MED, LPC (NPI 1386952604) is an individual professional provider in Kirksville, Missouri, licensed in Missouri (2010032751) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1386952604
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSUSAN G BUCKALLEWCredential: MED, LPC
Location Address2015 S HALLIBURTON STKirksville, MO 63501-4646
Mailing Address1101 Jamison StKirksville, MO 63501-3943 · (660) 665-1962 · Fax (660) 627-0642
Phone(660) 626-0698
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 21, 2010
Last NPPES UpdateJuly 28, 20265 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1386952604 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 · 2010032751
2015 S HALLIBURTON ST, Kirksville, MO 63501
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1900 E Laharpe StKirksville, MO 63501-4520 · Phone (660) 665-1962 · Fax (660) 665-3989
Location 2203 E Commercial StKahoka, MO 63445-1710 · Phone (660) 727-1111
Location 31101 Jamison StKirksville, MO 63501-3943 · Phone (660) 665-1962 · Fax (660) 627-0642

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Cox HealthPlans, Medica 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 and accepts Medicare assignment

Susan G Buckallew Med, Lpc 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 ID5395194096
PECOS Enrollment IDI20231206002972
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 Susan Buckallew reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Preferred Family Healthcare, Inc
0.1 mi
Community/Behavioral Health
900 E LAHARPE ST
Kirksville, MO 63501
  • Reassigned Medicare billing, Missouri enrollment
  • 44 clinicians in this Medicare group
NPI 1649474206 (660) 665-1962
Burrell, Inc.
213 mi
Community/Behavioral Health
1300 E BRADFORD PKWY
Springfield, MO 65804
  • Reassigned Medicare billing, Missouri enrollment
  • 590 clinicians in this Medicare group
NPI 1275541740 (417) 761-5000

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 19

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

SUMMER M. NELSON LPC
Counselor (Professional)
2015 S HALLIBURTON ST
KIRKSVILLE, MO 63501
Adair County (660) 665-1962
KRYSTEN JOLYNN JARMAN
Counselor (Professional)
2015 S HALLIBURTON ST
KIRKSVILLE, MO 63501
Adair County (660) 626-0698
CARRIE ANN POTTS LMHC, LPC
Counselor (Professional)
2015 S HALLIBURTON ST
KIRKSVILLE, MO 63501
Adair County (660) 665-1962
MARTHA LENONA DIGGINS PLPC
Counselor (Professional)
2015 S HALLIBURTON ST
KIRKSVILLE, MO 63501
Adair County (660) 626-0698
JAMES F HICKS MS, LPC
Counselor (Professional)
2015 S HALLIBURTON ST
KIRKSVILLE, MO 63501
Adair County (660) 626-0698
LAURA E NICKELSON MA, LPC
Counselor (Professional)
2015 S HALLIBURTON ST
KIRKSVILLE, MO 63501
Adair County (660) 626-0698
TJITSKE GAY TUBBERGEN-MAGLIO LCSW
Social Worker (Clinical)
2015 S HALLIBURTON ST
KIRKSVILLE, MO 63501
Adair County (573) 777-8300
JILL MARIE HOLLANDSWORTH MA, LMFT
Marriage & Family Therapist
2015 S HALLIBURTON ST
KIRKSVILLE, MO 63501
Adair County (660) 626-0698

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 Susan Buckallew's NPI number?

The NPI number for Susan Buckallew is 1386952604. It was assigned to this individual provider in the NPPES registry on September 21, 2010.

Where is Susan Buckallew located?

Susan Buckallew practices at 2015 S Halliburton St, Kirksville, MO 63501. The listed phone number is (660) 626-0698.

What is Susan Buckallew's specialty?

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

Is Susan Buckallew enrolled in Medicare?

Yes. Susan Buckallew 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 organizations bill Medicare for Susan Buckallew's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Buckallew reassigns Medicare benefits to 2 organizations: Preferred Family Healthcare, Inc (Kirksville, MO) and Burrell, Inc. (Springfield, MO). 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 Susan Buckallew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Buckallew accept?

Health plans from Anthem Blue Cross and Blue Shield, Cox HealthPlans, Medica, Oscar Insurance Company and UnitedHealthcare list Susan Buckallew 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 Susan Buckallew was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.