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KELLYN MCCULLOUGH MHP., LMFT
NPI 1366986580
Marriage & Family Therapist in Issaquah, WA

Active since December 07, 2016Opted out of Medicare · through Aug 20, 2026
640 NW GILMAN BLVD STE 101, ISSAQUAH, WA 98027(650) 866-5139 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 has opted out of Medicare through August 20, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1366986580
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKELLYN MCCULLOUGHCredential: MHP., LMFT
Location Address640 NW GILMAN BLVD STE 101Issaquah, WA 98027-2476
Mailing Address640 Nw Gilman Blvd Ste 101Issaquah, WA 98027-2476 · (650) 866-5139
Phone(650) 866-5139
Sole ProprietorYes
Enumeration DateDecember 7, 2016
Last NPPES UpdateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
✔ NPI 1366986580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in WA · LF60705572
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.
640 NW GILMAN BLVD STE 101, Issaquah, WA 98027
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Kellyn Mccullough Mhp., 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 August 20, 2024 through August 20, 2026.

Opt-Out Effective DateAugust 20, 2024
Opt-Out In Effect ThroughAugust 20, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

RESILIENT CONNECTIONS, PLLC
Marriage & Family Therapist
640 NW GILMAN BLVD STE 101
ISSAQUAH, WA 98027
King County (206) 817-5616

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?

No. Kellyn Mccullough has opted out of Medicare through August 20, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

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 10 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.