Linda McCullough, MA,LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C2944 Issued in OR

Practice address

6420 SW Macadam Ave Ste 390
Portland, OR 97239-3564

Phone

(503) 341-6641

NPI assigned

Jun 16, 2009

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

Opted out of Medicare

Yes, effective Aug 3, 2025 through Aug 3, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1184851271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5008 HAMPTON COURT",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970352322",
            "telephone_number": "503-341-6641",
            "fax_number": "503-766-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 SW MACADAM AVE STE 390",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393564",
            "telephone_number": "503-341-6641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10175 SW Barbur Blvd Ste 306B",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972195900",
            "country_code": "US",
            "telephone_number": "503-341-6641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "LINDA",
        "name_prefix": "Ms.",
        "credential": "MA,LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C2944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix McCulloch, MSW
• Annaleise Mae McCullough
• Casey Leigh McCullough, LAC
• Cynthia Rose McCullough, ARNP, CNM
• Larissa Rene McCullough
• Matthew McCullough
• Brian H McCully, MD
• Diane Elise McCune, MD
• Isabel Gruska McCune
• Keenan Rhys McCune, L.M.T., C.A.

• Professional Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.