Active NPI
Athena M McCullough, MA, LPC, LMFT
- Marriage & Family Therapist
- Lakewood, CO
National Provider Identifier
1124649199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT.0002314
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC.0018682 | CO | |
| Marriage & Family Therapist | 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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0018682 | CO | MD | Professional Counselor |
| MFT.0002314 | CO | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athena M McCullough | Mental Health | Current | Accepting new patients |
| McCullough Family Therapy | Mental Health | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2026; 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.