Active NPI
Alishia McCullough, LPCA
- Professional Counselor
- Greensboro, NC
National Provider Identifier
1336798446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A14049
- Practice address
- 1175 Revolution Mill Dr
Greensboro, NC 27405-5079 - Phone
- (336) 430-6694
- NPI assigned
- Sep 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A14049 | NC | Primary |
Addresses
Primary practice location
1175 Revolution Mill Dr
Greensboro, NC 27405-5079
Mailing address
1358 Norwalk St Apt T
Greensboro, NC 27407-1935
Phone (336) 312-7379
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A14049 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1336798446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1358 NORWALK ST APT T",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274071935",
"telephone_number": "336-312-7379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 REVOLUTION MILL DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274055079",
"telephone_number": "336-430-6694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCULLOUGH",
"first_name": "ALISHIA",
"credential": "LPCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-11",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A14049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.