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JESSICA TULLOCK
NPI 1760975627
Counselor - Mental Health in Kansas City, KS

Active since June 14, 2018PECOS Enrolled
1301 N 47TH ST, KANSAS CITY, KS 66102(913) 689-2199 Get Directions Write a Review

NPPES record last updated: June 14, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jessica Tullock NPPES

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

JESSICA TULLOCK (NPI 1760975627) is an individual mental health provider in Kansas City, Kansas, licensed in Kansas (2842) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760975627
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSICA TULLOCK
Location Address1301 N 47TH STKansas City, KS 66102-1705
Mailing Address1301 N 47th StKansas City, KS 66102-1705
Phone(913) 689-2199
Sole ProprietorNo
Enumeration DateJune 14, 2018
✔ NPI 1760975627 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 KS · 2842
1301 N 47TH ST, Kansas City, KS 66102
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Tullock is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jessica Tullock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wyandot Center For Community Behavioral Healthcare, Inc.
Same address
Community/Behavioral Health
1301 N 47TH ST
Kansas City, KS 66102
  • Reassigned Medicare billing, Kansas enrollment
  • 53 clinicians in this Medicare group
NPI 1629159389 (913) 287-0007

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.

KEVIN WINN B.S.
Behavior Analyst
1301 N 47TH ST
KANSAS CITY, KS 66102
Wyandotte County (913) 563-6500
MONICA LYNN SHIPPS LSCSW
Social Worker (Clinical)
1301 N 47TH ST
KANSAS CITY, KS 66102
Wyandotte County (913) 288-4238
MRS. ANNA C GILES L.M.S.W.
Social Worker
1301 N 47TH ST
KANSAS CITY, KS 66102
Wyandotte County (913) 744-6092
VICTOR OSUALA PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1301 N 47TH ST
KANSAS CITY, KS 66102
Wyandotte County (913) 287-0007
MICHAELE ANNETTE WILLIS RN
Registered Nurse (Psychiatric/Mental Health, Adult)
1301 N 47TH ST
KANSAS CITY, KS 66102
Wyandotte County (913) 287-0007
AMANDA GEBKE
Social Worker
1301 N 47TH ST
KANSAS CITY, KS 66102
Wyandotte County (913) 890-7932
WYANDOT CENTER FOR BEHAVIORAL HEALTHCARE
Community/Behavioral Health
1301 N 47TH ST
KANSAS CITY, KS 66102
Wyandotte County (913) 287-0007
MRS. ELIZABETH ANNE HAWKINS LMSW
Social Worker
1301 N 47TH ST
KANSAS CITY, KS 66102
Wyandotte County (913) 288-4207

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 Jessica Tullock's NPI number?

The NPI number for Jessica Tullock is 1760975627. It was assigned to this individual provider in the NPPES registry on June 14, 2018.

Where is Jessica Tullock located?

Jessica Tullock practices at 1301 N 47th St, Kansas City, KS 66102. The listed phone number is (913) 689-2199.

What is Jessica Tullock's specialty?

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

Is Jessica Tullock enrolled in Medicare?

Yes. Jessica Tullock is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Tullock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Tullock reassigns Medicare benefits to Wyandot Center For Community Behavioral Healthcare, Inc. (Kansas City, KS). 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 Jessica Tullock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Tullock accept?

Health plans from Blue Cross and Blue Shield of Kansas City list Jessica Tullock 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 Jessica Tullock was last updated on June 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.