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KRISTA M MCCULLOCH LSW
NPI 1124453907
Social Worker - Clinical in Maumee, OH

Active since September 11, 2013PECOS EnrolledAccepts Medicare Assignment
1627 HENTHORNE DR STE C, MAUMEE, OH 43537(419) 491-0420 Get Directions Write a Review

NPPES record last updated: March 13, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Krista M Mcculloch Lsw NPPES

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

KRISTA M MCCULLOCH LSW (NPI 1124453907) is an individual clinical provider in Maumee, Ohio, licensed in Ohio (S.0800738) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cleveland, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1124453907
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTA M MCCULLOCHCredential: LSW
Location Address1627 HENTHORNE DR STE CMaumee, OH 43537-1370
Mailing AddressPo Box 823Perrysburg, OH 43552-0823 · (419) 491-0420 · Fax (567) 698-7875
Phone(419) 491-0420
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 11, 2013
Last NPPES UpdateMarch 13, 2020
NPPES CertifiedMarch 13, 2020
✔ NPI 1124453907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OH · S.0800738
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1627 HENTHORNE DR STE C, Maumee, OH 43537
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Secondary Practice Location 1

Location 111801 Buckeye RdCleveland, OH 44120-2620 · Phone (216) 831-2255 · Fax (216) 378-3906

Other Identifiers 1

Medicaid2871101OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Krista M Mcculloch Lsw 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 ID749611564
PECOS Enrollment IDI20200512001471
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.

Medicare Billing Reassignment

Medicare enrollment records show Krista Mcculloch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anchored In Hope Counseling, LLC
1.7 mi
Clinical
1690 WOODLANDS DR STE 200
Maumee, OH 43537
  • Reassigned Medicare billing, Ohio enrollment
  • 10 clinicians in this Medicare group
NPI 1437626587 (419) 491-0420

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43537 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

BENJAMIN LEBER LPC
Counselor (Professional)
1627 HENTHORNE DR STE C
MAUMEE, OH 43537
Lucas County (419) 491-0420
LACEY SCHROEDER
Social Worker
1627 HENTHORNE DR STE C
MAUMEE, OH 43537
Lucas County (419) 491-0420
TORRIE RUCH MSW, LSW
Social Worker (Clinical)
1627 HENTHORNE DR STE C
MAUMEE, OH 43537
Lucas County (419) 491-0420
SAMANTHA HABUSTA
Social Worker
1627 HENTHORNE DR STE C
MAUMEE, OH 43537
Lucas County (419) 491-0420
GINA M. BONINO LSW
Social Worker (Clinical)
1627 HENTHORNE DR STE C
MAUMEE, OH 43537
Lucas County (567) 202-5042
DEIRDRE ANNE MANNING LSW
Social Worker
1627 HENTHORNE DR STE C
MAUMEE, OH 43537
Lucas County (419) 491-0420
JENNY XU LPC
Counselor (Mental Health)
1627 HENTHORNE DR STE C
MAUMEE, OH 43537
Lucas County (419) 705-8597
INSPIRING WELLNESS LLC
Social Worker (Clinical)
1627 HENTHORNE DR STE C
MAUMEE, OH 43537
Lucas County (567) 395-2969

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 Krista Mcculloch's NPI number?

The NPI number for Krista Mcculloch is 1124453907. It was assigned to this individual provider in the NPPES registry on September 11, 2013.

Where is Krista Mcculloch located?

Krista Mcculloch practices at 1627 Henthorne Dr Ste C, Maumee, OH 43537. The listed phone number is (419) 491-0420.

What is Krista Mcculloch's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Krista Mcculloch enrolled in Medicare?

Yes. Krista Mcculloch 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.

Which organization bills Medicare for Krista Mcculloch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krista Mcculloch reassigns Medicare benefits to Anchored In Hope Counseling, LLC (Maumee, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Krista Mcculloch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krista Mcculloch accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 2 other insurers list Krista Mcculloch 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 Krista Mcculloch was last updated on March 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.