Leah K McCulley, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

67719 Issued in TX

Practice address

710 N 64TH St
Waco, TX 76710-4387

Phone

(254) 772-8055

NPI assigned

Jul 9, 2021

Last updated

Sep 30, 2024By 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

Other names 1

• Leah Katherine Gorham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Psylrw, Inc

  • Clinical Psychologist
  • Waco, TX
  • NPI 1205161650

  Single Specialty

  NPD
• A to Z Rehab Services

  dba Brazos Children's Center

  • Rehabilitation Clinic/Center
  • Waco, TX
  • NPI 1881957389
  NPD (past)

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1194396101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N 64TH ST",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104387",
            "telephone_number": "405-921-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N 64TH ST",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104387",
            "telephone_number": "254-772-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLEY",
        "first_name": "LEAH",
        "middle_name": "K",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "67719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "GORHAM",
            "middle_name": "KATHERINE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deborah Lynn McCoy, FNP
• John McCoy, RN, MSN, PMHNP-BC
• Nicole McCoy, BT
• Lyn McCright, R.N.
• John W McCue, DDS
• James Richard McCullin, RPH
• McCulloch County Hospital District (Royal Manor West)
• McCulloch County Hospital District (Avir at Waco)
• Nicolle McCullough
• Chad Eric McCune, ATC, LAT

• Professional Counselor in Waco, TX
• Providers in Waco, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.