Keyonna Shawntel McCulloch, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L18471 Issued in OR

Practice address

1075 Washington St
Eugene, OR 97401-4606

Phone

(541) 321-2278

Fax

(541) 246-8826

NPI assigned

Mar 24, 2010

Last updated

Jul 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Keyonna S McCulloch Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: keyonna.mcculloch.p2@direct.lanecounty.nextgenshare.com

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.

• Arise Counseling Service, LLC. Dba Northlight Counseling

  • Clinical Social Worker
  • Eugene, OR
  • NPI 1447715834
  NPD

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1215251962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5560 A ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974786291",
            "telephone_number": "541-731-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 WASHINGTON ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014606",
            "telephone_number": "541-321-2278",
            "fax_number": "541-246-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOCH",
        "first_name": "KEYONNA",
        "middle_name": "SHAWNTEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-24",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "A3534",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L18471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5006614690",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEYONNA",
            "last_name": "MCCULLOCH",
            "middle_name": "S",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kyle Scott McCrate, B.S.
• Connor R McCroskey
• Lauryn McCue, PT, DPT
• Tara Beairsto McCullers, LCSW
• Bryce McCulloch, LMFT
• Lawanda Nicole McCullough
• Payge McCullough
• George Alton McCully, D.M.D.
• Sean Patrick McCully, M.D., M.S.
• Hannah McCurry

• Clinical Social Worker in Eugene, OR
• Providers in Eugene, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.