Brian Patrick Cullinane, LPC, LAC, MAC, ATR

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC.0019701 Issued in CO

Practice address

5103 Williams Fork TRL Apt 202
Boulder, CO 80301-3422

Phone

(732) 239-5818

NPI assigned

Jun 18, 2019

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1770143182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5103 WILLIAMS FORK TRL APT 202",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013422",
            "telephone_number": "732-239-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5103 WILLIAMS FORK TRL APT 202",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013422",
            "telephone_number": "732-239-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLINANE",
        "first_name": "BRIAN",
        "middle_name": "PATRICK",
        "credential": "LPC, LAC, MAC, ATR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0002224",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0019701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF REGULATORY AGENCIES",
            "identifier": "ACD.0002224",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF REGULATORY AGENCIES",
            "identifier": "LPC.0019701",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CSMN Operations Boulder
• Carly Cubbage, ATC
• Kevin Herbert Cuevas, MD
• Anna Rose Culbert, MS, OTR/L
• Elizabeth A Cullen, N.P.
• Christina Lee Cummings
• Summer Ramona Cummings
• Janina Cuneo
• Michaela G Cuneo
• Ambere Cunningham

• Mental Health Counselor in Boulder, CO
• Providers in Boulder, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.