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: July 19, 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
Chiropractor
1207 S MATTIS AVE, STE 2
CHAMPAIGN, IL 61821
Counselor (Addiction (Substance Use Disorder))
1207 S MATTIS AVE, SUITE 4
CHAMPAIGN, IL 61821

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063691137, enumerated as an "individual" on October 25, 2007.

The provider is located at 1207 S MATTIS AVE SUITE 4 CHAMPAIGN, IL 61821 and the phone number is (217) 398-8067.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.