NPIMap

Organization Active NPI

McCullough Counseling & Recovery LLC

  • Community/Behavioral Health Agency
  • Omaha, NE
National Provider Identifier
1184175408
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MCCULLOUGH COUNSELING & RECOVERY LLC
Practice address
6415 Ames Ave
Ste C
Omaha, NE 68104-1924
Phone
(402) 932-2537
Fax
(402) 932-2534
NPI assigned
Oct 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Cynthia McCullough, MHR, LMHP, LADC
Title
Ceo
Phone
(402) 932-2537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

6415 Ames Ave
Ste C
Omaha, NE 68104-1924

Mailing address

6415 Ames Ave
Ste C
Omaha, NE 68104-1924
Phone (402) 932-2537

National Provider Directory

National Provider Directory
Tax ID family
McCullough Counseling Recovery LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6415 Ames Ave
Ste C
Omaha, NE 68104
Phone (402) 932-2537

NPI Registry JSON

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1184175408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6415 AMES AVE",
            "address_2": "STE C",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681041924",
            "telephone_number": "402-932-2537",
            "fax_number": "402-932-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6415 AMES AVE",
            "address_2": "STE C",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681041924",
            "telephone_number": "402-932-2537",
            "fax_number": "402-932-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCULLOUGH COUNSELING & RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-932-2537",
        "authorized_official_credential": "MHR, LMHP, LADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.