Michael McCully, MA, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

35002049A Issued in IN

Practice address

112 S Alfred St
Alexandria, VA 22314-3061

Phone

(317) 426-7689

NPI assigned

May 5, 2014

Last updated

Jun 24, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellfield Counseling, LLC

  • Marriage & Family Therapist
  • Indianapolis, IN
  • NPI 1114780780
  NPD Authorized official

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1386054930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 FALL CREEK RD",
            "address_2": "PMB 105",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462564802",
            "telephone_number": "317-426-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S ALFRED ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223143061",
            "telephone_number": "317-426-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLY",
        "first_name": "MICHAEL",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-05",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35002049A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John K McConnell, M.D.
• Grace Elizabeth McConville, PA-C
• John McCoy, PH.D.
• Melina Suzanne McCrary, M.S., CCC-SLP
• Gardner McCullough, LCSW
• Gail F McCurry, MSW, LCSW
• Kyle McCuskey, ATC
• Ashley Dawn McCutcheon
• Lauren McDermott, PA-C
• Anne Stewart McDonald, DMD

• Marriage & Family Therapist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Marriage & Family Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.