JOHNNA MCCULLOUGH
NPI 1104343383
Counselor - Professional in Bradford, PA

Active since August 28, 2017PECOS EnrolledAccepts Medicare Assignment
110 CAMPUS DR, BRADFORD, PA 16701(814) 362-6535 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Aug 28, 2017 (2 updates tracked since 2017).

About Johnna Mccullough NPPES

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

JOHNNA MCCULLOUGH (NPI 1104343383) is an individual professional provider in Bradford, Pennsylvania, licensed in Pennsylvania (PC009804) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1104343383
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJOHNNA MCCULLOUGH
Location Address110 CAMPUS DRBradford, PA 16701-1982
Mailing Address110 Campus DrBradford, PA 16701-1982 · (814) 362-6535
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 28, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1104343383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in PA · PC009804
110 CAMPUS DR, Bradford, PA 16701

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Johnna Mccullough is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951753680
PECOS Enrollment IDI20240118002397
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Psychologist
110 CAMPUS DR
BRADFORD, PA 16701
Clinic/Center (Community Health)
110 CAMPUS DR
BRADFORD, PA 16701
Registered Nurse (Psychiatric/Mental Health)
110 CAMPUS DR
BRADFORD, PA 16701
Social Worker
110 CAMPUS DR
BRADFORD, PA 16701
Counselor (Professional)
110 CAMPUS DR
BRADFORD, PA 16701
Counselor (Addiction (Substance Use Disorder))
110 CAMPUS DR
BRADFORD, PA 16701
Clinic/Center (Mental Health (Including Community Mental Health Center))
110 CAMPUS DR
BRADFORD, PA 16701
Counselor (Professional)
110 CAMPUS DR
BRADFORD, PA 16701

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 Johnna Mccullough's NPI number?

The NPI number for Johnna Mccullough is 1104343383. It was assigned to this individual provider in the NPPES registry on August 28, 2017.

Where is Johnna Mccullough located?

Johnna Mccullough practices at 110 Campus Dr, Bradford, PA 16701. The listed phone number is (814) 362-6535.

What is Johnna Mccullough's specialty?

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

Is Johnna Mccullough enrolled in Medicare?

Yes. Johnna Mccullough is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Johnna Mccullough accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Johnna Mccullough as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Johnna Mccullough was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.