Siobhan Megan McCullough, MS,LCPC,NCC,BC-TMH

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.009536 Issued in IL

Practice address

18 Saint Cronan CT
Cary, IL 60013-3415

Phone

(815) 242-5450

Fax

(815) 331-2996

NPI assigned

Jan 6, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Siobhan Megan McCullough Petrie Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1780988667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SAINT CRONAN CT",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600133415",
            "telephone_number": "815-242-5450",
            "fax_number": "815-246-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 SAINT CRONAN CT",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600133415",
            "telephone_number": "815-242-5450",
            "fax_number": "815-331-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "SIOBHAN",
        "middle_name": "MEGAN",
        "name_prefix": "Mrs.",
        "credential": "MS,LCPC,NCC,BC-TMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-06",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "995-226",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.009536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIOBHAN",
            "last_name": "PETRIE",
            "middle_name": "MEGAN MCCULLOUGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Professional Counselor in Cary, IL
• Providers in Cary, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.