J Andrew McCullough, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P1409066 Issued in AR

Practice address

628 W Broadway St Ste 300
North Little Rock, AR 72114

Phone

(501) 372-4242

NPI assigned

Nov 30, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jmccullough@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD
• Family Service Agency,Inc.

  • Community/Behavioral Health Agency
  • North Little Rock, AR
  • NPI 1417089558
  NPD (past)

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1366787459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 W BROADWAY ST STE 300",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721145545",
            "telephone_number": "501-372-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 W BROADWAY ST STE 300",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72114",
            "telephone_number": "501-372-4242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 NW 4th St",
            "address_purpose": "LOCATION",
            "city": "Bryant",
            "state": "AR",
            "postal_code": "720223424",
            "country_code": "US",
            "telephone_number": "501-653-5061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "J ANDREW",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A1209078",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1409066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Bowen McConnell II, DDS
• Amanda Clare McCorkindale, PSYD
• McCoy Counseling LLC
• Terry Hugh McCoy Jr., AU.D.
• Donnesha Lagayle McCuien
• Morgan McDearmon, PHARMD
• Barry Allen McDonald, M.S.W.
• Sandra Ann McDonald, P.T.
• Brooke McDowell, OWNER/OPERATOR
• Donna Maria McFadden, OTR/L

• Mental Health Counselor in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.