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MARK ALLEN MCCULLOUGH MA, LADC-MH CAND
NPI 1043093479
Counselor in Edmond, OK

Active since August 17, 2023
13707 FAIRHILL AVE, EDMOND, OK 73013(405) 607-4041 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Allen Mccullough Ma, Ladc-mh Cand NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK ALLEN MCCULLOUGH MA, LADC-MH CAND (NPI 1043093479) is an individual counselor in Edmond, Oklahoma and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1043093479
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMARK ALLEN MCCULLOUGHCredential: MA, LADC-MH CAND
Location Address13707 FAIRHILL AVEEdmond, OK 73013-1946
Mailing Address13707 Fairhill AveEdmond, OK 73013-1946 · (405) 607-4041
Phone(405) 607-4041
Sole ProprietorNo
Enumeration DateAugust 17, 2023
NPPES CertifiedAugust 17, 2023
✔ NPI 1043093479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
13707 FAIRHILL AVE, Edmond, OK 73013
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATHWAYS PROFESSIONAL COUNSELING LLC
Community/Behavioral Health
13707 FAIRHILL AVE
OKLAHOMA CITY, OK 73013
Oklahoma County (405) 607-4041
MATTHEW HEWES
Counselor (Mental Health)
13707 FAIRHILL AVE
EDMOND, OK 73013
Oklahoma County (405) 607-4041
TYRA WILLIAMS
Counselor
13707 FAIRHILL AVE
EDMOND, OK 73013
Oklahoma County (405) 607-4041
PATHWAYS MEDICAL LLC
Clinic/Center (Primary Care)
13707 FAIRHILL AVE
EDMOND, OK 73013
Oklahoma County (405) 607-4041
CHELSEA SUTTON LPC CANDIDATE
Counselor (Mental Health)
13707 FAIRHILL AVE
EDMOND, OK 73013
Oklahoma County (808) 227-3466
JAKE WILLARD MA
Counselor (Mental Health)
13707 FAIRHILL AVE
EDMOND, OK 73013
Oklahoma County (405) 607-4041
STACY ZENO
Peer Specialist
13707 FAIRHILL AVE
EDMOND, OK 73013
Oklahoma County (405) 607-4041
HEATHER RANDALL RN
Registered Nurse
13707 FAIRHILL AVE
EDMOND, OK 73013
Oklahoma County (405) 412-3494

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Mccullough's NPI number?

The NPI number for Mark Mccullough is 1043093479. It was assigned to this individual provider in the NPPES registry on August 17, 2023.

Where is Mark Mccullough located?

Mark Mccullough practices at 13707 Fairhill Ave, Edmond, OK 73013. The listed phone number is (405) 607-4041.

What is Mark Mccullough's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Mark Mccullough was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.