Emily Rose McCulloch, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401017955 Issued in MI

Practice address

1460 Walton Blvd Ste 50
Rochester Hills, MI 48309-1729

Phone

(248) 413-5817

NPI assigned

Dec 27, 2019

Last updated

Dec 27, 2019By 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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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.

• Rochester Evidence-Based Psychotherapy Clinic, PLLC

  • Professional Counselor
  • Rochester, MI
  • NPI 1326580432
  NPD

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1174162879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37281 GLENBROOK DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480362409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 WALTON BLVD STE 50",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091729",
            "telephone_number": "248-413-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOCH",
        "first_name": "EMILY",
        "middle_name": "ROSE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-27",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401017955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Suzanne McCarthy
• Mark McCleese
• Paige McCrystle McClelland, DDS
• Dean Robert McCrossen
• Linde McCubbin, PA-C
• William McCullough, NP
• Deana L McCutcheon, CRNA
• Madison McDonald
• Morgan McDonald
• Jacqueline D. McDougal, PH.D.

• Professional Counselor in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.