Shawna L. McCullah, LPCC, CRC, CDMS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.2404472 Issued in OH

Practice address

4217 Smith Rd
Cincinnati, OH 45212-4107

Phone

(859) 512-6912

NPI assigned

Jun 11, 2020

Sex

Female

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

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": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1407471808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1173",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450420873",
            "telephone_number": "859-512-6912",
            "fax_number": "866-546-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 SMITH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452124107",
            "telephone_number": "859-512-6912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Beckmark Building",
            "address_2": "7237 Cincinnati-Dayton Road, Suite 010-020, Lower Level",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "45069",
            "country_code": "US",
            "telephone_number": "859-512-6912",
            "fax_number": "866-546-4270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLAH",
        "first_name": "SHAWNA",
        "middle_name": "L.",
        "credential": "LPCC, CRC, CDMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C2002624",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2404472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jariah McCrory
• Timothy J McCrossen, D.C.
• Holly McCrystal, PHARMD, BCPS
• Ellie R McCullagh
• Sheri McCullah Casbeer, PCC-S, LICDC
• Charles Anthony McCullough
• Kia McCullough, PMHNP
• Mary Beth McCullough, PH.D.
• Mary Ellen K McCullough, MD
• Patrick J McCullough, M.D.

• Professional Counselor in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.