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NICOLLE MCCULLOUGH
NPI 1275334070
Counselor - Professional in Waco, TX

Active since March 19, 2025PECOS Enrolled
345 OWEN LN STE 102, WACO, TX 76710(512) 686-6012(512) 842-7227 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicolle Mccullough NPPES

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

NICOLLE MCCULLOUGH (NPI 1275334070) is an individual professional provider in Waco, Texas, licensed in Texas (91672) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1275334070
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNICOLLE MCCULLOUGH
Location Address345 OWEN LN STE 102Waco, TX 76710-5583
Mailing Address208 Hewitt Dr Ste 103 Box 218Waco, TX 76712-6693 · (512) 686-6012 · Fax (512) 842-7227
Phone(512) 686-6012
Fax(512) 842-7227
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 19, 2025
NPPES CertifiedMarch 19, 2025
✔ NPI 1275334070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 91672
345 OWEN LN STE 102, Waco, TX 76710
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3072012376
PECOS Enrollment IDI20250814003471
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 Nicolle Mccullough reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Get Out Of Your Head Therapy, LLC
Same address
Professional
345 OWEN LANE SUITE 102
Waco, TX 76710
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
NPI 1710359690 (512) 686-6012

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

Other Providers at the Same Location NPPES 2

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

MRS. JAJA CHEN LCSW
Social Worker (Clinical)
345 OWEN LN STE 102
WACO, TX 76710
McLennan County (254) 739-9200
KAREN COTTON MSW, LCSW
Social Worker (Clinical)
345 OWEN LN STE 102
WACO, TX 76710
McLennan County (512) 686-6012

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 Nicolle Mccullough's NPI number?

The NPI number for Nicolle Mccullough is 1275334070. It was assigned to this individual provider in the NPPES registry on March 19, 2025.

Where is Nicolle Mccullough located?

Nicolle Mccullough practices at 345 Owen Ln Ste 102, Waco, TX 76710. The listed phone number is (512) 686-6012.

What is Nicolle Mccullough's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Nicolle Mccullough enrolled in Medicare?

Yes. Nicolle Mccullough is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicolle Mccullough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicolle Mccullough reassigns Medicare benefits to Get Out Of Your Head Therapy, LLC (Waco, TX). 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 Nicolle Mccullough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicolle Mccullough accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare and UnitedHealthcare list Nicolle Mccullough 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 Nicolle Mccullough was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.