Lisa Michelle McCulloch, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2001004734 Issued in MO

Practice address

14377 Woodlake Dr
Suite 308
Chesterfield, MO 63017

Phone

(314) 576-6493

Fax

(314) 576-7319

NPI assigned

Feb 27, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Lisa Michelle Kenyon Other name

Medicare fee-for-service enrollment

Enrolled in MO

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 1

Specialty

Mental Health Counselor

Education

Other, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1649246935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 DUNLOE ROAD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "63021",
            "telephone_number": "636-207-1391",
            "fax_number": "636-207-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14377 WOODLAKE DR",
            "address_2": "SUITE 308",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63017",
            "telephone_number": "314-576-6493",
            "fax_number": "314-576-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOCH",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2001004734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "691209",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "KENYON",
            "middle_name": "MICHELLE",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Charles Jonah McCloskey II, FNP-C
• Scott McClure, MD
• Carrol Duane McCord, RPH
• David Olon McCrary, M.D.
• Cathy McCredie, MHS, PT, OCS, MTC
• Christine Ann McDermott, MA, CCC SLP
• Rebecca A. McDermott, M.S. CCC-SLP
• Sarah McDermott
• Courtney McDole, MS, CCC-SLP
• Ian Matthew McDonald, D.C.

• Counselor in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.