Tameka McCullough

Primary specialty

CounselorTaxonomy code 101Y00000X

License

5819 Issued in TN

Practice address

1565 Cedar Springs Cir
Clarksville, TN 37042-1579

Phone

(931) 241-9227

NPI assigned

Aug 16, 2022

Last updated

Aug 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kismet Counseling Services, PLLC

  dba Kismet Counseling Services

  • Mental Health Counselor
  • Clarksville, TN
  • NPI 1578347886
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1154049187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 CEDAR SPRINGS CIR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370421579",
            "telephone_number": "931-241-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 CEDAR SPRINGS CIR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370421579",
            "telephone_number": "931-241-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "TAMEKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TN",
            "license": "5819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Lee McCrary
• Amelia McCray
• Sharnae Monique McCray, MSW
• Cameron Michael McCullough, PT, DPT, CSCS
• John Scott McCullough, M.D.
• McCurdy & Ellis. PLC
• Rebecca McCurdy, MSW
• Ted R McCurdy
• Carly McCutcheon
• Joshua Logan McDaniel, PA-C

• Counselor in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.