Individual provider Active NPI

Patrick T. Culhane, LPC

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1083175368
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-17896
Practice address
2505 W Beryl Ave
Phoenix, AZ 85021-1641
Phone
(602) 599-5424
NPI assigned
Mar 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-17896 Primary

Addresses

Primary practice location

2505 W Beryl Ave
Phoenix, AZ 85021-1641

Mailing address

14084 W Reade Ave
Litchfield Park, AZ 85340
Phone (623) 986-3426

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pculhane@lifewell.us Direct Lifewell Behavioral Wellness

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20240320002279 AZ Practitioner - Mental Health Counselor 4284071739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Desert View Counseling and Consulting IncGroup PAC ID 4981644325, 17 clinicians

Practice addresses (Care Compare)

13260 N 94TH Dr
Suite 100
Peoria, AZ 85381-4242
Phone (623) 487-7763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Desert View Counseling and Consulting, Inc. Professional CurrentSince Jan 21, 2024 Accepting new patients

Locations

13260 N 94th Dr
Ste 100
Peoria, AZ 85381
Phone (623) 487-7763

19820 N 7th St
Ste 140
Phoenix, AZ 85024
Phone (623) 487-7763

Organizations & group practices 1

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": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1083175368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14084 W READE AVE",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "85340",
            "telephone_number": "623-986-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 W BERYL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850211641",
            "telephone_number": "602-599-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULHANE",
        "first_name": "PATRICK",
        "middle_name": "T.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "LPC-17896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pculhane@lifewell.us",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "Lifewell Behavioral Wellness",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2505 W Beryl Ave",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850211641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.