McCullough, Vargas, & Associates, Inc.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

MCCULLOUGH, VARGAS, & ASSOCIATES, INC.

Practice address

770 Riverside Ave
Ste 11
Adrian, MI 49221-1476

Phone

(517) 264-2244

Fax

(517) 263-3325

NPI assigned

Jul 8, 2006

Last updated

Oct 17, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gerald McCullough, MA, CAADCNPI 1194132449

Title

Executive Director

Phone

(517) 264-2244

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gerald Nelson McCullough, AMA, CAADC

  • Addiction (Substance Use Disorder) Counselor
  • Adrian, MI
  • NPI 1194132449
  Authorized official Same address or phone

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1144253923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 RIVERSIDE AVE",
            "address_2": "STE 11",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211476",
            "telephone_number": "517-264-2244",
            "fax_number": "517-263-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 RIVERSIDE AVE",
            "address_2": "STE 11",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211476",
            "telephone_number": "517-264-2244",
            "fax_number": "517-263-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCULLOUGH, VARGAS, & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "517-264-2244",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, CAADC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MI",
            "license": "460036",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Michael Maxwell, MD
• Yashica Maxwell, LLMSW, LCSW, LICSW
• Michael T McAuliffe, M.D.
• Tricia McCarty, LLPC
• Gerald Nelson McCullough, AMA, CAADC
• Janine L McDermott, LLPC
• Holly Nicole McDonald, ATC
• Elisha McDonough
• Brian McEwan, PT
• Alan McFadden, M.D.

• Addiction (Substance Use Disorder) Counselor in Adrian, MI
• Providers in Adrian, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.