Candace A McCullough, PHD, LCPC, ACS, DCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC 0662 Issued in MD

Practice address

11110 Whisperwood LN
N Bethesda, MD 20852-3668

Phone

(301) 493-6044

NPI assigned

May 17, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 26, 2024 through Jan 26, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Alternative Solutions Center Inc

  • Mental Health Counselor
  • N Bethesda, MD
  • NPI 1952502312
  NPD (past) Authorized official
• Alternative Solutions Counseling

  • Mental Health Counselor
  • Rockville, MD
  • NPI 1972912194
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301011200000",
    "number": "1659588408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 WHISPERWOOD LN",
            "city": "N BETHESDA",
            "state": "MD",
            "postal_code": "208523668",
            "fax_number": "301-493-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 WHISPERWOOD LN",
            "city": "N BETHESDA",
            "state": "MD",
            "postal_code": "208523668",
            "telephone_number": "301-493-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "CANDACE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD, LCPC, ACS, DCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2011-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC 0662",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "PRC13760",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4093585 00",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "J4880001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rasha Khaffagi
• Jong Min Kim, DMD
• Giorgio V. P. Kulp, MD
• Livewell, LLC
• Kristie Nicole Marquis, MD
• Metropolitan Pediatrics, LLC
• Eileen Mood, CPNP
• Nicole Filipe Psychotherapy
• Joy Paul, LCSW-C
• Lauren Michelle Polovoy, CCC-SLP

• Mental Health Counselor in N Bethesda, MD
• Providers in N Bethesda, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.