Individual provider Active NPI

Mary Kathleen Cates Cullison, LCAC

  • Clinical Social Worker
  • Kokomo, IN
National Provider Identifier
1982588323
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34005813A Issued in IN
Practice address
2751 Albright Rd
Kokomo, IN 46902-3996
Phone
(765) 450-4843
Fax
(765) 450-4895
NPI assigned
Jul 31, 2025
Last updated
Feb 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 87001439A IN
Clinical Social Worker 1041C0700X 34005813A IN Primary

Addresses

Primary practice location

2751 Albright Rd
Kokomo, IN 46902-3996

Mailing address

2751 Albright Rd
Kokomo, IN 46902-3996
Phone (765) 450-4843

Other identifiers 1

IdentifierTypeStateIssuer
34005813AOtherINLICENSED CLINICAL SOCIAL WORKER LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251015001331 IN Practitioner - Clinical Social Worker 9234626011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrity Family Counseling LLCGroup PAC ID 9830485507, 14 clinicians

Practice addresses (Care Compare)

2751 Albright Rd
Kokomo, IN 46902-3996
Phone (765) 450-4843

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
87001439AINMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Family Counseling LLC CurrentSince Sep 19, 2025 Accepting new patients

Locations

2751 Albright Rd
Kokomo, IN 46902
Phone (765) 450-4843

417 Arnold Ct
Kokomo, IN 46902
Phone (765) 432-7006

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1982588323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 ALBRIGHT RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023996",
            "telephone_number": "765-450-4843",
            "fax_number": "765-450-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 ALBRIGHT RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023996",
            "telephone_number": "765-450-4843",
            "fax_number": "765-450-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATES CULLISON",
        "first_name": "MARY KATHLEEN",
        "credential": "LCAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-31",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87001439A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005813A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKER LICENSE",
            "identifier": "34005813A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.