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MR. ROBERT E MCCULLOUGH II LMHC, SUDP
NPI 1386006922
Counselor - Addiction (Substance Use Disorder) in Monroe, WA

Active since March 23, 2016PECOS EnrolledAccepts Medicare Assignment
809 W MAIN ST STE C, MONROE, WA 98272(206) 552-0882(844) 440-2147 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 4, 2026, Jan 8, 2026, Feb 25, 2025 and 2 more (5 updates tracked since 2016).

About Mr. Robert E Mccullough Ii Lmhc, Sudp NPPES

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

MR. ROBERT E MCCULLOUGH II LMHC, SUDP (NPI 1386006922) is an individual addiction (substance use disorder) provider in Monroe, Washington, licensed in Washington (00004280) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1386006922
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. ROBERT E MCCULLOUGH IICredential: LMHC, SUDP
Location Address809 W MAIN ST STE CMonroe, WA 98272-2172
Mailing Address902 Pine StEverett, WA 98201-1403 · (425) 610-2075 · Fax (833) 485-0438
Phone(206) 552-0882
Fax(844) 440-2147
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 23, 2016
Last NPPES UpdateJune 4, 20265 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1386006922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · 00004280
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LH61367968 (WA)
809 W MAIN ST STE C, Monroe, WA 98272
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Robert E Mccullough Ii Lmhc, Sudp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335679182
PECOS Enrollment IDI20251125000840
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 Reassignments

2

Medicare enrollment records show Robert Mccullough reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Conquer Addiction PLLC
Same address
Multi-Specialty
809 W MAIN ST STE C
Monroe, WA 98272
  • Reassigned Medicare billing, Washington enrollment
  • 7 clinicians in this Medicare group
NPI 1255001624 (206) 552-0882
Tulalip Tribes Of Washington
19 mi
Public Health & General Preventive Medicine
2821 MISSION HILL RD
Tulalip, WA 98271
  • Reassigned Medicare billing, Texas enrollment
  • 46 clinicians in this Medicare group
NPI 1013138924 (360) 716-4400

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 20

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

MIKEL WASSEMILLER
Counselor (Addiction (Substance Use Disorder))
809 W MAIN ST STE C
MONROE, WA 98272
Snohomish County (206) 552-0882
JACOB ADAM GRILLO PA-C
Physician Assistant (Medical)
809 W MAIN ST STE C
MONROE, WA 98272
Snohomish County (206) 552-0882
MRS. JOAN MARIE DAVES
Case Manager/Care Coordinator
809 W MAIN ST STE C
MONROE, WA 98272
Snohomish County (206) 552-0882
SHIRLEY E KARLSEN RN
Registered Nurse
809 W MAIN ST STE C
MONROE, WA 98272
Snohomish County (206) 552-0882
DELIA ANN LARRY
Counselor (Addiction (Substance Use Disorder))
809 W MAIN ST STE C
MONROE, WA 98272
Snohomish County (206) 552-0882
CONQUER ADDICTION PLLC
Clinic/Center (Multi-Specialty)
809 W MAIN ST STE C
MONROE, WA 98272
Snohomish County (206) 552-0882
SUMMER LEE LANGAN
Peer Specialist
809 W MAIN ST STE C
MONROE, WA 98272
Snohomish County (206) 552-0882
ROGER C WHITE JR.
Peer Specialist
809 W MAIN ST STE C
MONROE, WA 98272
Snohomish County (206) 552-0882

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 Robert Mccullough's NPI number?

The NPI number for Robert Mccullough is 1386006922. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Where is Robert Mccullough located?

Robert Mccullough practices at 809 W Main St Ste C, Monroe, WA 98272. The listed phone number is (206) 552-0882.

What is Robert Mccullough's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Robert Mccullough enrolled in Medicare?

Yes. Robert Mccullough is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Robert Mccullough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Mccullough reassigns Medicare benefits to 2 organizations: Conquer Addiction PLLC (Monroe, WA) and Tulalip Tribes Of Washington (Tulalip, WA). Each 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 Robert Mccullough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Mccullough accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Robert 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 Robert Mccullough was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.