Abigail McCullough, MS, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH22149 Issued in FL

Practice address

10245 Centurion Pkwy N Ste 250
Jacksonville, FL 32256-0561

Phone

(904) 674-3521

NPI assigned

May 30, 2023

Sex

Female

Sole proprietor

No

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

Enrolled in FL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Owimast Health LLCGroup PAC ID 6901278076, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Owimast Health LLC

  • Marriage & Family Therapist
  • Jacksonville, FL
  • NPI 1417609645
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1235822909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10245 CENTURION PKWY N STE 250",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560561",
            "telephone_number": "904-674-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10245 CENTURION PKWY N STE 250",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560561",
            "telephone_number": "904-674-3521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Stockton St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322042534",
            "country_code": "US",
            "telephone_number": "904-387-4661 x5013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "ABIGAIL",
        "credential": "MS, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle E McCrone, PT
• Courtney McCullars, QASP
• Taylor McCullers
• Susan McCulloch, LCSW
• Destany Delaine McCullors, RBT
• Cornelia M. McCullough, ARNP
• Deanna C McCullough, M.D.
• Elizabeth McCullough, M.D.
• Franklin Paul McCullough, IDC
• Magdalene Edith McCullough, PA

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.