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MRS. JACQUELINE FISHER COULTER M.S., LMFT, LCMFT
NPI 1720184765
Marriage & Family Therapist in Kansas City, MO

Active since September 16, 2006PECOS Enrolled
48 E 108TH TER, KANSAS CITY, MO 64114(209) 204-8643 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 15, 2026, Dec 17, 2025, Dec 5, 2025 and 3 more (6 updates tracked since 2019).

About Mrs. Jacqueline Fisher Coulter M.s., Lmft, Lcmft NPPES

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

MRS. JACQUELINE FISHER COULTER M.S., LMFT, LCMFT (NPI 1720184765) is an individual marriage & family therapist in Kansas City, Missouri, licensed in California (MFC 41366) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Stockton, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1720184765
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. JACQUELINE FISHER COULTERCredential: M.S., LMFT, LCMFT
Location Address48 E 108TH TERKansas City, MO 64114-5088
Mailing Address48 E 108th TerKansas City, MO 64114-5088 · (209) 204-8643
Phone(209) 204-8643
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJanuary 15, 20266 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
✔ NPI 1720184765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · MFC 41366✔ Licensed in MO · 2025002927✔ Licensed in KS · LCMFT03084✔ Licensed in MI · 4101007549✔ Licensed in TX · 205840
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
48 E 108TH TER, Kansas City, MO 64114
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Secondary Practice Location 1

Location 1130 W Flora StStockton, CA 95202-1636 · Phone (209) 204-8643

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jacqueline Fisher Coulter M.s., Lmft, Lcmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911491055
PECOS Enrollment IDI20251216000874
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 Jacqueline Coulter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

San Joaquin County Behavioral Health Services
1,442 mi
Mental Health (Including Community Mental Health Center)
1209 W TOKAY STREET, SUITE 1, 3, 5, 7, 12, 14, AND 16
Lodi, CA 95240
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: County Of San Joaquin
  • 195 clinicians in this Medicare group
NPI 1265647234 (209) 468-8700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jacqueline Coulter's NPI number?

The NPI number for Jacqueline Coulter is 1720184765. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Jacqueline Coulter located?

Jacqueline Coulter practices at 48 E 108th Ter, Kansas City, MO 64114. The listed phone number is (209) 204-8643.

What is Jacqueline Coulter's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jacqueline Coulter enrolled in Medicare?

Yes. Jacqueline Coulter is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline Coulter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Coulter reassigns Medicare benefits to San Joaquin County Behavioral Health Services (Lodi, CA). 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 Jacqueline Coulter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacqueline Coulter was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.