KATHLEEN L CULLOP LCPC
NPI 1063691137
Counselor - Professional in Champaign, IL

Active since October 25, 2007
1207 S MATTIS AVE, SUITE 4, CHAMPAIGN, IL 61821(217) 398-8067(217) 398-8096 Get Directions Write a Review

NPPES record last updated: October 25, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kathleen L Cullop Lcpc NPPES

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

KATHLEEN L CULLOP LCPC (NPI 1063691137) is an individual professional provider in Champaign, Illinois and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1063691137
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATHLEEN L CULLOPCredential: LCPC
Location Address1207 S MATTIS AVE, SUITE 4Champaign, IL 61821-4861
Mailing Address1207 S Mattis Ave, Suite 4Champaign, IL 61821-4861 · (217) 398-8067 · Fax (217) 398-8096
Fax(217) 398-8096
Sole ProprietorNo
Enumeration DateOctober 25, 2007
NPI 1063691137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1207 S MATTIS AVE, Champaign, IL 61821

Other Identifiers 1

Other103-2051IL · Blue Cross Blue Shield

Other Providers at the Same Location NPPES 3

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

Chiropractor
1207 S MATTIS AVE, STE2
CHAMPAIGN, IL 61821
Counselor (Addiction (Substance Use Disorder))
1207 S MATTIS AVE, SUITE 4
CHAMPAIGN, IL 61821
Chiropractor
1207 S MATTIS AVE, STE 2
CHAMPAIGN, IL 61821

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 Kathleen Cullop's NPI number?

The NPI number for Kathleen Cullop is 1063691137. It was assigned to this individual provider in the NPPES registry on October 25, 2007.

Where is Kathleen Cullop located?

Kathleen Cullop practices at 1207 S Mattis Ave Suite 4, Champaign, IL 61821. The listed phone number is (217) 398-8067.

What is Kathleen Cullop's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kathleen Cullop was last updated on October 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.