Casey Jo Tully, MA, NCC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

65156 Issued in TX

Practice address

85 NE Loop 410 Ste 223
San Antonio, TX 78216-5836

Phone

(210) 552-0985

NPI assigned

Dec 31, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• It'S Life Counseling and Wellness PLLC

  • Professional Counselor
  • San Antonio, TX
  • NPI 1578138236
  Medicare reassignment NPD Authorized official
• Best Practices Bhom

  • Clinical Social Worker
  • Jackson, NJ
  • NPI 1477070761

  TX

  Medicare reassignment NPD
• Virtuous Counseling Center, PLLC

  • Adult Mental Health Clinic/Center
  • San Antonio, TX
  • NPI 1043892698
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1293753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702166400000",
    "number": "1174827455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25343 LONGBRANCH RUN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782612988",
            "telephone_number": "210-552-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 NE LOOP 410 STE 223",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165836",
            "telephone_number": "210-552-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLY",
        "first_name": "CASEY",
        "middle_name": "JO",
        "credential": "MA, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-31",
        "last_updated": "2023-12-10",
        "certification_date": "2023-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Ann Tuitele, FNP
• Richard Tuli, M.D., PH.D.
• Julie A Tullberg, DO
• Matt Tullis, R.PH.
• Micam W. Tullous, MD
• John Tully, M.D.
• Natwashiel Tumbling, RBT
• Allison Gayle Tumlinson, DPT
• Kelvin Tung
• Suresh Tunga, MD

• Professional Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.