SAMANTHA ARIN MCCULLOUGH
NPI 1245915594
Social Worker - Clinical in Iola, KS

Q: What is Samantha Mccullough's NPI number?

The NPI number for Samantha Mccullough is 1245915594. It was assigned to this individual provider in the NPPES registry on June 15, 2023.

Q: What is Samantha Mccullough's specialty?

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

Active since June 15, 2023PECOS Enrolled

2051 N STATE ST, IOLA, KS 66749(620) 380-6600(620) 577-2134 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 14, 2024, Jun 15, 2023 (2 updates tracked since 2023).

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About Samantha Arin Mccullough NPPES

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

SAMANTHA ARIN MCCULLOUGH (NPI 1245915594) is an individual clinical provider in Iola, Kansas, licensed in Kansas (06262) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245915594

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSAMANTHA ARIN MCCULLOUGH

Location Address2051 N STATE STIola, KS 66749-1677

Mailing AddressPo Box 1832Pittsburg, KS 66762-1832

Phone(620) 380-6600

Fax(620) 577-2134

Sole ProprietorNo

Enumeration DateJune 15, 2023

Last NPPES UpdateMay 14, 20242 updates tracked since enumeration

NPPES CertifiedMay 14, 2024

✔ NPI 1245915594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in KS · 06262

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 00860 (KS)

2051 N STATE ST, Iola, KS 66749

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Arin Mccullough is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Samantha Mccullough reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Center Of Southeast Kansas, Inc.

Same address

Federally Qualified Health Center (FQHC)

2051 N STATE ST
Iola, KS 66749

Reassigned Medicare billing, Kansas enrollment
177 clinicians in this Medicare group

NPI 1609025485 (620) 380-6600

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 66749 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 $53.00 – $161.67

Typical copayment $0.00 (range $13.25 – $40.41)

Most-billed visit code NA

Established Patient

$66.40 typical visit price

range $16.88 – $132.11

Typical copayment $16.60 (range $4.22 – $33.02)

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 20

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

JANET LYNN ZORNES PHARMACIST

Pharmacist