ATHENA M MCCULLOUGH MA, LPC, LMFT - NPI 1124649199 - Marriage & Family Therapist in Lakewood, CO

Q: What is Athena Mccullough's NPI number?

The NPI number for Athena Mccullough is 1124649199. It was assigned to this individual provider in the NPPES registry on May 1, 2020.

Q: What is Athena Mccullough's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Athena Mccullough enrolled in Medicare?

No. Athena Mccullough has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Athena Mccullough was last updated on April 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Athena M Mccullough Ma, Lpc, Lmft NPPES

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

ATHENA M MCCULLOUGH MA, LPC, LMFT (NPI 1124649199) is an individual marriage & family therapist in Lakewood, Colorado, licensed in Colorado (MFT.0002314) and active in the NPI registry since May 2020. She has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1124649199

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameATHENA M MCCULLOUGHCredential: MA, LPC, LMFT

Location Address3900 S WADSWORTH BLVD STE 435Lakewood, CO 80235-2207

Mailing Address3900 S Wadsworth Blvd Ste 435Lakewood, CO 80235-2207 · (303) 551-9214

Phone(303) 551-9214

Sole ProprietorYes

Enumeration DateMay 1, 2020

Last NPPES UpdateApril 26, 20263 updates tracked since enumeration

NPPES CertifiedApril 26, 2026

✔ NPI 1124649199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CO · MFT.0002314

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC.0018682 (CO)

3900 S WADSWORTH BLVD STE 435, Lakewood, CO 80235

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Athena M Mccullough Ma, Lpc, Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2024 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2024

Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

MCCULLOUGH FAMILY THERAPY

Marriage & Family Therapist