Robert E McCullough II, LMHC, SUDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

00004280 Issued in WA

Practice address

809 W Main St Ste C
Monroe, WA 98272-2172

Phone

(206) 552-0882

Fax

(844) 440-2147

NPI assigned

Mar 23, 2016

Sex

Male

Sole proprietor

Yes

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

Enrolled in TX, WA2 enrollments

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 2

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Conquer Addiction PLLCGroup PAC ID 8325562044, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Conquer Addiction PLLC

  dba Conquer

  • Multi-Specialty Clinic/Center
  • Monroe, WA
  • NPI 1255001624
  Medicare reassignment Care Compare group NPD
• Tulalip Tribes of Washington

  dba Tulalip Tribes Health Clinic

  • General Practice Physician
  • Tulalip, WA
  • NPI 1770531501

  TX

  Medicare reassignment NPD
• Tulalip Tribes of Washington

  dba Tulalip Tribes Family Services - Adult Mental Wellness

  • Public Health & General Preventive Medicine Physician
  • Tulalip, WA
  • NPI 1013138924

  Mental Health

  NPD
• Tulalip Tribes of Washington

  dba Tulalip Tribe Eye Clinic

  • Optometrist
  • Tulalip, WA
  • NPI 1831946797
  NPD
• Evergreen Recovery Centers

  • Substance Abuse Rehabilitation Facility
  • Mount Vernon, WA
  • NPI 1023515400
  NPD (past)

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1386006922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 PINE ST",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982011403",
            "telephone_number": "425-610-2075",
            "fax_number": "833-485-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 W MAIN ST STE C",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982722172",
            "telephone_number": "206-552-0882",
            "fax_number": "844-440-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "LMHC, SUDP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "00004280",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61367968",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabitha Michelle Mayhew, LMP
• Kathrine Anne McAleese, BTH
• David McCollum
• Joseph McColskey Jr., LMHCA
• Carol McCoy, LMP
• Margie McDaniel, LMP
• Wendy Kathleen McFarland
• Meagen Michelle McKelvey, LMP
• Harmony Lynn McKenna-Clark, LMP
• Jdrew McKibben, MA, MHP

• Addiction (Substance Use Disorder) Counselor in Monroe, WA
• Providers in Monroe, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.