Individual provider Active NPI

Casey Cullen

  • Marriage & Family Therapist
  • Somerville, MA
National Provider Identifier
1083027668
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
11 Ward St
Somerville, MA 02143-4214
Phone
(617) 629-6790
NPI assigned
Jun 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

11 Ward St
Somerville, MA 02143-4214

Mailing address

225 N Main St Ste 106
Bristol, CT 06010-4993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241001004384 CO Practitioner - Marriage and Family Therapist 2062943079 Reassigns benefits to 1 organization
I20250103001898 CT Practitioner - Marriage and Family Therapist 2062943079 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Counseling and Consulting LLC CurrentSince Oct 1, 2024 Accepting new patients
Momentum Counseling and Consulting LLC Marriage & Family Therapist CurrentSince Oct 1, 2024 Accepting new patients
Casey Cullen LLC Marriage & Family Therapist Current Accepting new patients

Locations

2120 Milestone Dr
Ste 103
Fort Collins, CO 80525
Phone (719) 789-7041

Interoperability endpoints

  • Direct secure messaging: casey.cullen.p1@direct.wheelerclinic.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1083027668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N MAIN ST STE 106",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WARD ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021434214",
            "telephone_number": "617-629-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "CASEY",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

Verify at the official NPI Registry.