Tyhilya Kunisha McCullum-Johnson, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180-007578 Issued in IL

Practice address

2844 Grand Blvd
Highland, IN 46322-1238

Phone

(309) 634-6118

NPI assigned

Jul 16, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Finding Your Solutions Counseling and Wellness, Inc.

  • Mental Health Counselor
  • Palos Heights, IL
  • NPI 1487120101
  NPD (past)

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1164735346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9721 165TH ST STE 21",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674511",
            "telephone_number": "708-671-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2844 GRAND BLVD",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463221238",
            "telephone_number": "309-634-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLUM-JOHNSON",
        "first_name": "TYHILYA",
        "middle_name": "KUNISHA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178006611",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178006611",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-007578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRIDGEWAY FEIN",
            "identifier": "37-0934175",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariyah Faith Martinez
• Michele Martinez
• Samawia Masood, PHARMD
• Natasha Elaine Massie
• Sarah Mattingly
• Timothy M McCurdy, PSYD, HSPP
• Dawn McDonough, LMHCA
• Vida McGhee-Lewis, M.D.
• Mary McLaughlin, LCSW
• Shaniya McMiller

• Professional Counselor in Highland, IN
• Providers in Highland, IN by specialty
• Professional Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.