Mya S Cullins, MS, LCASA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2717-A Issued in NC

Practice address

338 N Elm St
Suite 215
Greensboro, NC 27401-2177

Phone

(336) 333-2542

Fax

(336) 333-2858

NPI assigned

Oct 17, 2012

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Undefined Non-Physician Type (Specify)

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• RBM Transportation Services Inc.

  • Non-emergency Medical Transport (VAN)
  • Greensboro, NC
  • NPI 1710723655
  NPD Authorized official
• Beyond Your Ordinary, Inc.

  dba Beyond Your Ordinary Treatment Center

  • Multi-Specialty Clinic/Center
  • McDonough, GA
  • NPI 1396365094
  NPD Authorized official
• Changing Phases Behavioral Support, Inc

  • Community/Behavioral Health Agency
  • Marietta, GA
  • NPI 1497094205
  NPD Authorized official
• Changing Phases Behavioral Support

  dba Changing Phases Behavioral Support One

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Greensboro, NC
  • NPI 1811057045
  NPD (past)

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1790038685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 N ELM ST",
            "address_2": "SUITE 215",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012177",
            "telephone_number": "336-333-2542",
            "fax_number": "336-333-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 N ELM ST",
            "address_2": "SUITE 215",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012177",
            "telephone_number": "336-333-2542",
            "fax_number": "336-333-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLINS",
        "first_name": "MYA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "MS, LCASA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "2717-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal E.Nickerson, LLC (Choice Behavioral Health & Consultation Services)
• Matthew Cuddington, M.A., CCC-SLP
• Meghan Lendry Culbertson
• Angela Francine Cullins, BSN, RN
• Marsha Devette Cullins, LCSWA, LCASA
• Ashley Dodson Culotta, LDO
• Cari Culp, M.S., R.D., L.D.N.
• Cultivating Wholeness, PLLC
• David F Cunha, LCAS
• Alexus Cunningham

• Mental Health Counselor in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.