Carole Celia Cullen, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1106 Issued in NC

Practice address

9228 Linslade Way
Wake Forest, NC 27587-5023

Phone

(919) 795-0101

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 5, 2024 through Jan 5, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• My Therapist, Inc

  • Marriage & Family Therapist
  • Wake Forest, NC
  • NPI 1518100254
  NPD (past) Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053498733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9228 LINSLADE WAY",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875023",
            "telephone_number": "919-795-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9228 LINSLADE WAY",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875023",
            "telephone_number": "919-795-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "CAROLE",
        "middle_name": "CELIA",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "141UV",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Elizabeth Crickmar, LCSW-A
• Joseph Criscuola, D.C.
• Elizabeth Croom, LCMHA
• Angela Cropps, MA, LPC, NCC
• Samantha Crum
• Nichole Cunningham
• Huguette Curah, LCSW
• Thomas C Curtis, D.O.
• Bridget Scarboro Cusumano, PHARMD
• Carol C Cutchin, PT

• Marriage & Family Therapist in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.