KELLYN MCCULLOUGH MHP., LMFT
NPI 1366986580
Marriage & Family Therapist in Issaquah, WA
About Kellyn Mccullough Mhp., Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLYN MCCULLOUGH MHP., LMFT (NPI 1366986580) is an individual marriage & family therapist in Issaquah, Washington, licensed in Washington (LF60705572) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kellyn Mccullough Mhp., Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ISSAQUAH, WA 98027
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 Kellyn Mccullough's NPI number?
The NPI number for Kellyn Mccullough is 1366986580. It was assigned to this individual provider in the NPPES registry on December 7, 2016.
Where is Kellyn Mccullough located?
Kellyn Mccullough practices at 640 NW Gilman Blvd Ste 101, Issaquah, WA 98027. The listed phone number is (650) 866-5139.
What is Kellyn Mccullough's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Kellyn Mccullough enrolled in Medicare?
Yes. Kellyn Mccullough is registered in the Medicare PECOS enrollment system.
What insurance does Kellyn Mccullough accept?
Health plans from PacificSource Health Plans list Kellyn 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 Kellyn Mccullough was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Kellyn Mccullough, MHP., LMFT · NPI 1366986580
Marriage & Family Therapist provider in Issaquah, Washington. Individual provider, active in the CMS NPPES registry since December 7, 2016.
## Identity
- **NPI:** 1366986580 (Entity type: Individual)
- **Enumerated:** December 7, 2016
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** LF60705572 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 640 NW GILMAN BLVD STE 101, Issaquah, WA 98027-2476
- **Phone:** (650) 866-5139
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** September 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1366986580) · Data from the CMS NPPES public registry.