KADA STULL M.ED/ED.S
NPI 1710448402
Counselor - Mental Health in Pinellas Park, FL

Active since March 26, 2019PECOS Enrolled
3941 68TH AVE N, PINELLAS PARK, FL 33781(570) 484-1353 Get Directions Write a Review

NPPES record last updated: March 26, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kada Stull M.ed/ed.s NPPES

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

KADA STULL M.ED/ED.S (NPI 1710448402) is an individual mental health provider in Pinellas Park, Florida, licensed in Florida (17981) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1710448402
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKADA STULLCredential: M.ED/ED.S
Location Address3941 68TH AVE NPinellas Park, FL 33781-6136
Mailing Address5644 Harborside DrTampa, FL 33615-3682 · (570) 484-1353
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 26, 2019
✔ NPI 1710448402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · 17981
3941 68TH AVE N, Pinellas Park, FL 33781

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kada Stull M.ed/ed.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830619139
PECOS Enrollment IDI20250217002496
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 Kada Stull reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
16502 N DALE MABRY HWY
Tampa, FL 33618
  • Reassigned Medicare billing, Florida enrollment
  • 21 clinicians in this Medicare group

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.

Counselor (Mental Health)
3941 68TH AVE N
PINELLAS PARK, FL 33781
Counselor (Mental Health)
3941 68TH AVE N
PINELLAS PARK, FL 33781
Counselor (Mental Health)
3941 68TH AVE N
PINELLAS PARK, FL 33781
Counselor (Mental Health)
3941 68TH AVE N
PINELLAS PARK, FL 33781
Social Worker
3941 68TH AVE N
PINELLAS PARK, FL 33781
Counselor (Mental Health)
3941 68TH AVE N
PINELLAS PARK, FL 33781
Social Worker (Clinical)
3941 68TH AVE N
PINELLAS PARK, FL 33781
Social Worker (Clinical)
3941 68TH AVE N
PINELLAS PARK, FL 33781

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 Kada Stull's NPI number?

The NPI number for Kada Stull is 1710448402. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is Kada Stull located?

Kada Stull practices at 3941 68th Ave N, Pinellas Park, FL 33781. The listed phone number is (570) 484-1353.

What is Kada Stull's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kada Stull enrolled in Medicare?

Yes. Kada Stull is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kada Stull's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kada Stull reassigns Medicare benefits to Tampa Bay Area Counseling (Tampa, 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 Kada Stull's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kada Stull accept?

Health plans from Ambetter Health, Ambetter of Alabama, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Kada Stull 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 Kada Stull was last updated on March 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.