Lavena H McCullum, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

10021776 Issued in OR

Practice address

401 Ratcliff Dr SE Ste 110
Salem, OR 97302-4576

Phone

(541) 224-8110

Fax

(800) 783-8942

NPI assigned

May 2, 2018

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

• Lavena Marie Hay Former name

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Mindhealth Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Salem, OR
  • NPI 1144193699
  Medicare reassignment NPD Authorized official
• Onhealthcare, LLC

  • Optometrist
  • Indianapolis, IN
  • NPI 1417220369
  NPD

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1235628645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 E FOOTHILLS DR STE 104",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971326125",
            "telephone_number": "541-224-8110",
            "fax_number": "800-783-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 RATCLIFF DR SE STE 110",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024576",
            "telephone_number": "541-224-8110",
            "fax_number": "800-783-8942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 E Foothills Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Newberg",
            "state": "OR",
            "postal_code": "971326125",
            "country_code": "US",
            "telephone_number": "541-224-8110",
            "fax_number": "800-783-8942",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4400 NE 77th Ave Ste 275",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986626857",
            "country_code": "US",
            "telephone_number": "541-224-8110",
            "fax_number": "800-783-8942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLUM",
        "first_name": "LAVENA",
        "middle_name": "H",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10021776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAVENA",
            "last_name": "HAY",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chelsey McCracken
• McCrae Management & Investments, LTD.
• Susan Lee McCrae
• Megan Kathleen McCrossin, NP, CNM
• Jodie Delina McCue, OT
• Ryan A. McDaid, D.C.
• Nicole Marie McDavid, MT-BC
• Joel McDermeit
• Theresa McDermott
• McDonald Orthodontics

• Psychiatric/Mental Health Nurse Practitioner in Salem, OR
• Providers in Salem, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.