Individual provider Active NPI

Megan M Cullen, LPC, CSAC

  • Mental Health Counselor
  • Madison, WI
National Provider Identifier
1043638034
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6198-125 Issued in WI
Practice address
5005 University Ave
Suite 100
Madison, WI 53705-5439
Phone
(608) 233-2100
Fax
(608) 233-2101
NPI assigned
Apr 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16030-132 WI
Mental Health Counselor 101YM0800X 6198-125 WI Primary

Addresses

Primary practice location

5005 University Ave
Suite 100
Madison, WI 53705-5439

Mailing address

5005 University Ave
Suite 100
Madison, WI 53705-5439
Phone (608) 233-2100

Other names 1

  • Mrs. Megan M Cullen-Kling Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16030-132WIMDAddiction (Substance Use Disorder) Counselor
6198-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Consulting and Wellness, LLC Current Accepting new patients
Madison Women's Health, LLP Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1043638034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 UNIVERSITY AVE",
            "address_2": "SUITE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537055439",
            "telephone_number": "608-233-2100",
            "fax_number": "608-233-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 UNIVERSITY AVE",
            "address_2": "SUITE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537055439",
            "telephone_number": "608-233-2100",
            "fax_number": "608-233-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "MEGAN",
        "middle_name": "M",
        "credential": "LPC, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-07",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16030-132",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "6198-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "CULLEN-KLING",
            "middle_name": "M",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.