Active NPI
Stephen D McCullough, MS, LPC
- Professional Counselor
- Joplin, MO
National Provider Identifier
1295087559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2009032567
- Practice address
- 3006 McClelland Blvd
Joplin, MO 64804-1637 - Phone
- (417) 347-7720
- NPI assigned
- Oct 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2009032567 | MO | Primary |
| Professional Counselor | 101YP2500X | 1876 | KS |
Addresses
Primary practice location
3006 McClelland Blvd
Joplin, MO 64804-1637
Mailing address
P.O. Box 2526
Joplin, MO 64803
Phone (417) 347-7720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009032567 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349913600000",
"number": "1295087559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 2526",
"city": "JOPLIN",
"state": "MO",
"postal_code": "64803",
"telephone_number": "417-347-7720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3006 MCCLELLAND BLVD",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648041637",
"telephone_number": "417-347-7720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCULLOUGH",
"first_name": "STEPHEN",
"middle_name": "D",
"credential": "MS, LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-11",
"last_updated": "2012-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2009032567",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "1876",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.