Active NPI
Kimberly Voss McCullough, MHCA
- Counselor
- Seattle, WA
National Provider Identifier
1699452532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 61455951
- Practice address
- 4105 Fauntleroy Way SW
Seattle, WA 98126-2609 - Phone
- (206) 898-2085
- NPI assigned
- Jul 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 61455951 | WA | Primary |
Addresses
Primary practice location
4105 Fauntleroy Way SW
Seattle, WA 98126-2609
Mailing address
4105 Fauntleroy Way SW
Seattle, WA 98126-2609
Phone (206) 898-2085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 23, 2026 through Mar 23, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61455951 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1699452532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4105 FAUNTLEROY WAY SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981262609",
"telephone_number": "206-898-2085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4105 FAUNTLEROY WAY SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981262609",
"telephone_number": "206-898-2085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCULLOUGH",
"first_name": "KIMBERLY",
"middle_name": "VOSS",
"credential": "MHCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-03",
"last_updated": "2023-07-03",
"certification_date": "2023-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "61455951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.