Haley A Cullen, LPC, SAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4658-125 Issued in WI

Practice address

1000 Mineral Point Ave
Janesville, WI 53548-2940

Phone

(608) 756-6508

Fax

(608) 741-6918

NPI assigned

Apr 10, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Haley A Porter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1376809897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12970 W BLUEMOUND RD STE 200",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222607",
            "telephone_number": "262-780-1020",
            "fax_number": "262-780-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MINERAL POINT AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535482940",
            "telephone_number": "608-756-6508",
            "fax_number": "608-741-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "HALEY",
        "middle_name": "A",
        "credential": "LPC, SAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15739-131",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "4658-125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4658-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "PORTER",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mikhaela K Creekmore, LCSW
• Jill Crista, ND
• Annika L Crossley, CD
• Ashley A. Crull, PSY.D.
• Marlo M Crump, LPC-IT
• Jessica Cullen
• John A Culp, MD
• Cultivating Wellness Services
• Amanda Nichole Cunningham, B.S. SAC-IT
• John Currie

• Professional Counselor in Janesville, WI
• Providers in Janesville, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.

Verify at the official NPI Registry.