Individual provider Active NPI

McCulloch Hall

  • Mental Health Counselor
  • Iowa City, IA
National Provider Identifier
1235864737
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
112984 Issued in IA
Practice address
485 Highway 1 W
Iowa City, IA 52246-4205
Phone
(319) 883-2525
NPI assigned
Jul 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 112984 IA Primary

Addresses

Primary practice location

485 Highway 1 W
Iowa City, IA 52246-4205

Mailing address

485 Highway 1 W
Iowa City, IA 52246-4205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20241210003607 IA Practitioner - Mental Health Counselor 4981130283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optimae Lifeservices IncGroup PAC ID 8022912211, 20 clinicians

Practice addresses (Care Compare)

301 W Burlington Ave
Fairfield, IA 52556-3242
Phone (641) 472-5771

401 Westview CT
Unit 2
Washington, IA 52353-2903
Phone (319) 531-8111

600 E Court Ave
Suite 200
Des Moines, IA 50309-2058
Phone (515) 243-3525

605 E Winfield Ave
Mount Pleasant, IA 52641-2928
Phone (319) 385-8051

825 N 6TH St
Suite 6
Burlington, IA 52601-4920
Phone (319) 237-1732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optimae Lifeservices, Inc, CurrentSince Nov 13, 2024 Accepting new patients
Optimae Lifeservices,Inc. Current Accepting new patients
Nurse in the House, Inc. Past Accepting new patients
Rescare, Inc Past Accepting new patients

Locations

712 S West St
Bloomfield, IA 52537

825 N 6th St
Ste 6
Burlington, IA 52601
Phone (319) 237-1732

883 Shaver Rd NE
Ste E
Cedar Rapids, IA 52402
Phone (319) 591-8111

209 E Maple St
Ste 8
Centerville, IA 52544
Phone (641) 682-4804

2201 W Jefferson Ave
Fairfield, IA 52556
Phone (641) 472-1684

301 W Burlington Ave
Fairfield, IA 52556
Phone (641) 472-1684

509 Avenue F
Fort Madison, IA 52627
Phone (319) 372-3566

485 Highway 1 W
Iowa City, IA 52246
Phone (319) 351-5524

2460 Towncrest Dr
Ste 1
Iowa City, IA 52240
Phone (319) 337-2008

208 Bank St
Keokuk, IA 52632
Phone (319) 524-3873

605 E Winfield Ave
Mt Pleasant, IA 52641
Phone (319) 385-8051

226 W Main St
Ste 405
Ottumwa, IA 52501
Phone (641) 682-4804

401 Westview Ct
Unit 2
Washington, IA 52353
Phone (319) 531-8111

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1235864737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 HIGHWAY 1 W",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522464205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 HIGHWAY 1 W",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522464205",
            "telephone_number": "319-883-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "MCCULLOCH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "112984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.