Kathryn R. Cullison, MA, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC30628 Issued in CA

Practice address

304 Yama St
Yreka, CA 96097-2418

Phone

(530) 842-9668

Fax

(530) 842-9668

NPI assigned

Aug 22, 2006

Sex

Female

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

Opted out of Medicare

Yes, effective Mar 1, 2026 through Mar 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1720194533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960970405",
            "telephone_number": "530-842-9668",
            "fax_number": "530-842-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 YAMA ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960972418",
            "telephone_number": "530-842-9668",
            "fax_number": "530-842-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLISON",
        "first_name": "KATHRYN",
        "middle_name": "R.",
        "credential": "MA, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC30628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colette Roylyn Cross Bradley, SCHOOL COUNSELOR PPS
• John Paul Crovelle, BEHAVIORAL HEALTH SP
• Brit Lee Crownover
• Lori Sheree Crum, PHARM.D.
• Leeann Michele Culbertson, CM II
• Frank J Cunha
• Leslie E.C. Curley, LMFT
• Marcia Anne Cushman-Perkins, OTR
• Dansunankul LLC
• Darrell Eugene Frost Dba Northern Siskiyou Ambulance Service

• Marriage & Family Therapist in Yreka, CA
• Providers in Yreka, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.

Verify at the official NPI Registry.