Vanessa Renee Smith McCullough

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

12645 Teacup Way
Indianapolis, IN 46235-6115

Phone

(317) 513-6192

NPI assigned

Sep 8, 2020

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

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.

• Heart of Abundance, LLC

  • Community/Behavioral Health Agency
  • Mesa, AZ
  • NPI 1346874310
  NPD (past)
• Holon Health, Inc.

  • Addiction Medicine (Preventive Medicine) Physician
  • Elizabethtown, KY
  • NPI 1942902093
  NPD (past)

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1205440112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12645 TEACUP WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462356115",
            "telephone_number": "317-513-6192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12645 TEACUP WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462356115",
            "telephone_number": "317-513-6192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "VANESSA",
        "middle_name": "RENEE SMITH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Caroline McCuen, DO
• Lynne M McCulloch, OTR,MAC,LCAC
• Brett M McCullough, M.D.
• Megan McCullough
• Melissa Ann McCullough, LCSW
• Meghan Elizabeth McCully, LMHC
• Elizabeth McCune
• Dawn L. McCurley, P.T.
• Claire Christine McCurry, NP
• Kelia Marie McCurry

• Marriage & Family Therapist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Marriage & Family Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.