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MALISSA M MCCULLOCH LPC
NPI 1225814718
Counselor - Mental Health in Nampa, ID

Active since August 31, 2023
220 10TH AVE S, NAMPA, ID 83651(208) 468-0850 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Malissa M Mcculloch Lpc NPPES

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

MALISSA M MCCULLOCH LPC (NPI 1225814718) is an individual mental health provider in Nampa, Idaho, licensed in Idaho (9731) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1225814718
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMALISSA M MCCULLOCHCredential: LPC
Location Address220 10TH AVE SNampa, ID 83651-3832
Mailing Address220 10th Ave SNampa, ID 83651-3832 · (208) 468-0850
Phone(208) 468-0850
Sole ProprietorYes
Enumeration DateAugust 31, 2023
NPPES CertifiedAugust 31, 2023
✔ NPI 1225814718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in ID · 9731
220 10TH AVE S, Nampa, ID 83651
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Other Providers at the Same Location NPPES 18

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

CHRISTY NOEL MEYER-HEINZMAN MFT INTERN ASSOCIATE
Counselor (Mental Health)
220 10TH AVE S
NAMPA, ID 83651
Canyon County (208) 468-0850
JESSICA TAYLOR BERNAL BA, MA, LPC
Counselor (Mental Health)
220 10TH AVE S
NAMPA, ID 83651
Canyon County (208) 468-0850
KIMBERLY RAE WOOD LPC
Counselor (Professional)
220 10TH AVE S
NAMPA, ID 83651
Canyon County (208) 468-0850
CARMEN M SCHMIDT PT
Physical Therapist
220 10TH AVE S
NAMPA, ID 83651
Canyon County (208) 489-5950
HAILEY NICOLE FERGUSON
Behavior Technician
220 10TH AVE S
NAMPA, ID 83651
Canyon County (208) 468-0850
MARCIA CRANS
Counselor
220 10TH AVE S
NAMPA, ID 83651
Canyon County (208) 268-7967
CARLY ODE
Counselor (Mental Health)
220 10TH AVE S
NAMPA, ID 83651
Canyon County (208) 468-0850
HUNTER BABICZ
Peer Specialist
220 10TH AVE S
NAMPA, ID 83651
Canyon County (208) 468-0850

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 Malissa Mcculloch's NPI number?

The NPI number for Malissa Mcculloch is 1225814718. It was assigned to this individual provider in the NPPES registry on August 31, 2023.

Where is Malissa Mcculloch located?

Malissa Mcculloch practices at 220 10th Ave S, Nampa, ID 83651. The listed phone number is (208) 468-0850.

What is Malissa Mcculloch's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Malissa Mcculloch was last updated on August 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.