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PAVEL TULISOV
NPI 1548818354
Counselor in Pompano Beach, FL

Active since August 27, 2019PECOS EnrolledAccepts Medicare Assignment
817 N DIXIE HWY, POMPANO BEACH, FL 33060(954) 785-8285 Get Directions Write a Review

NPPES record last updated: November 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 28, 2025, Aug 27, 2019 (2 updates tracked since 2019).

About Pavel Tulisov NPPES

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

PAVEL TULISOV (NPI 1548818354) is an individual counselor in Pompano Beach, Florida, licensed in Florida (MH26635) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1548818354
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NamePAVEL TULISOV
Location Address817 N DIXIE HWYPompano Beach, FL 33060-5621
Mailing Address817 N Dixie HwyPompano Beach, FL 33060-5621
Phone(954) 785-8285
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 27, 2019
Last NPPES UpdateNovember 28, 20252 updates tracked since enumeration
NPPES CertifiedNovember 28, 2025
✔ NPI 1548818354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in FL · MH26635
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
817 N DIXIE HWY, Pompano Beach, FL 33060
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Pavel Tulisov 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 ID6608359732
PECOS Enrollment IDI20260317000993
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 Reassignment

Medicare enrollment records show Pavel Tulisov reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
31 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 3,079 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 20

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

MRS. CLARA INES MUNOZ MSW
Counselor (Mental Health)
817 N DIXIE HWY
POMPANO BEACH, FL 33060
Broward County (954) 785-8285
NEKIA DEAN
Counselor (Mental Health)
817 N DIXIE HWY
POMPANO BEACH, FL 33060
Broward County (954) 785-8285
LAWRENCE DEVINE
Counselor (Mental Health)
817 N DIXIE HWY
POMPANO BEACH, FL 33060
Broward County (954) 785-8285
TASHAUNDRA CUNNINGHAM
Counselor (Mental Health)
817 N DIXIE HWY
POMPANO BEACH, FL 33060
Broward County (954) 785-8285
NYOKA POWELL ROBINSON PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
817 N DIXIE HWY
POMPANO BEACH, FL 33060
Broward County (308) 440-7737
ANTONIA GIRARD M.S.
Behavior Analyst
817 N DIXIE HWY
POMPANO BEACH, FL 33060
Broward County (954) 785-8285
MS. ROSELINE LAURISTON MA
Counselor (Mental Health)
817 N DIXIE HWY
POMPANO BEACH, FL 33060
Broward County (954) 785-8285
STEPHANIE MERISIER
Counselor (School)
817 N DIXIE HWY
POMPANO BEACH, FL 33060
Broward County (954) 785-8285

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 Pavel Tulisov's NPI number?

The NPI number for Pavel Tulisov is 1548818354. It was assigned to this individual provider in the NPPES registry on August 27, 2019.

Where is Pavel Tulisov located?

Pavel Tulisov practices at 817 N Dixie Hwy, Pompano Beach, FL 33060. The listed phone number is (954) 785-8285.

What is Pavel Tulisov's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Pavel Tulisov enrolled in Medicare?

Yes. Pavel Tulisov 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 organization bills Medicare for Pavel Tulisov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pavel Tulisov reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The 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 Pavel Tulisov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pavel Tulisov accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 3 other insurers list Pavel Tulisov 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 Pavel Tulisov was last updated on November 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.