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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LARISSA RENE MCCULLOUGH
NPI 1114625233
Counselor in Portland, OR

Active since February 17, 2023
1904 SE DIVISION ST, PORTLAND, OR 97202(503) 517-8663 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 1, 2023, Feb 17, 2023 (2 updates tracked since 2023).

About Larissa Rene Mccullough NPPES

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

LARISSA RENE MCCULLOUGH (NPI 1114625233) is an individual counselor in Portland, Oregon and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1114625233
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameLARISSA RENE MCCULLOUGH
Location Address1904 SE DIVISION STPortland, OR 97202-1146
Mailing Address1904 Se Division StPortland, OR 97202-1146 · (503) 517-8663
Phone(503) 517-8663
Sole ProprietorNo
Enumeration DateFebruary 17, 2023
Last NPPES UpdateJune 30, 20262 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
✔ NPI 1114625233 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.
1904 SE DIVISION ST, Portland, OR 97202
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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.

MR. KIRK FENTON
Counselor (Mental Health)
1904 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663
EMMA REILLEY BUDDEKE
Counselor
1904 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663
KRIS ONSHUS-WOMBLE
Counselor
1904 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663
AARYN PRETTYMAN MSW
Counselor
1904 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663
ALLEN MAXWELL HENDERSON
Case Manager/Care Coordinator
1904 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663
BRITTANY HOPE
Counselor
1904 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663
CELESTE ARIEL MALONE
Marriage & Family Therapist
1904 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663
CRISTINA DOWNEY
Counselor
1904 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663

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 Larissa Mccullough's NPI number?

The NPI number for Larissa Mccullough is 1114625233. It was assigned to this individual provider in the NPPES registry on February 17, 2023.

Where is Larissa Mccullough located?

Larissa Mccullough practices at 1904 SE Division St, Portland, OR 97202. The listed phone number is (503) 517-8663.

What is Larissa 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 Larissa Mccullough was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.