Individual provider Active NPI

Athena M McCullough, MA, LPC, LMFT

  • Marriage & Family Therapist
  • Lakewood, CO
National Provider Identifier
1124649199
Registry record updated Apr 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT.0002314 Issued in CO
Practice address
3900 S Wadsworth Blvd Ste 435
Lakewood, CO 80235-2207
Phone
(303) 551-9214
NPI assigned
May 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0018682 CO
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X MFT.0002314 CO Primary

Addresses

Primary practice location

3900 S Wadsworth Blvd Ste 435
Lakewood, CO 80235-2207

Mailing address

3900 S Wadsworth Blvd Ste 435
Lakewood, CO 80235-2207
Phone (303) 551-9214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2024 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC.0018682COMDProfessional Counselor
MFT.0002314COMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athena M McCullough Mental Health CurrentSince Nov 10, 2024 Accepting new patients
McCullough Family Therapy Mental Health CurrentSince Aug 27, 2023 Accepting new patients

Locations

3900 S Wadsworth Blvd
Ste 435
Lakewood, CO 80235
Phone (303) 551-9214

9200 W Cross Dr
Ste 509
Littleton, CO 80123
Phone (303) 551-9214

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777161600000",
    "number": "1124649199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 S WADSWORTH BLVD STE 435",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352207",
            "telephone_number": "303-551-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 S WADSWORTH BLVD STE 435",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352207",
            "telephone_number": "303-551-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "ATHENA",
        "middle_name": "M",
        "credential": "MA, LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-01",
        "last_updated": "2026-04-26",
        "certification_date": "2026-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0018682",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT.0002314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.