Active NPI
Heidi McCullough, LMFT
- Marriage & Family Therapist
- West Dundee, IL
National Provider Identifier
1770324592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 166.001754
- Practice address
- 501 W Main St
West Dundee, IL 60118-2023 - Phone
- (262) 448-6811
- NPI assigned
- Jun 5, 2024
- Last updated
- May 1, 2025
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 166.001754 | IL | Primary |
Addresses
Primary practice location
501 W Main St
West Dundee, IL 60118-2023
Mailing address
501 W Main St
West Dundee, IL 60118-2023
Phone (262) 448-6811
Other practice location 1
27 Grant St
Crystal Lake, IL 60014-4372
Phone (262) 448-6811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166.001754 | IL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anew Path-Counseling & Wellness Center PLLC | Marriage & Family Therapist | Current | Accepting new patients |
| Blair Counseling and Mediation PC | Marriage & Family Therapist | Past | Accepting new patients |
| New Hope Counseling Center LTD | Marriage & Family Therapist | Past | Accepting new patients |
Locations
501 W Main St
West Dundee, IL 60118
Phone (262) 448-6811
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Marriage & Family Therapist
- West Dundee, IL
- NPI 1184412801
-
- Professional Counselor
- Crystal Lake, IL
- NPI 1245479674
Marriage & Family Therapist
-
- Marriage & Family Therapist
- Crystal Lake, IL
- NPI 1508239278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746057600000",
"number": "1770324592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 W MAIN ST",
"city": "WEST DUNDEE",
"state": "IL",
"postal_code": "601182023",
"telephone_number": "262-448-6811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W MAIN ST",
"city": "WEST DUNDEE",
"state": "IL",
"postal_code": "601182023",
"telephone_number": "262-448-6811"
}
],
"practiceLocations": [
{
"address_1": "27 Grant St",
"address_purpose": "LOCATION",
"city": "Crystal Lake",
"state": "IL",
"postal_code": "600144372",
"country_code": "US",
"telephone_number": "262-448-6811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCULLOUGH",
"first_name": "HEIDI",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-05",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166.001754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Dundee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.