Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. LISA MICHELLE MCCULLOCH LPC
NPI 1649246935
Counselor in Chesterfield, MO

Q: What is Lisa Mcculloch's NPI number?

The NPI number for Lisa Mcculloch is 1649246935. It was assigned to this individual provider in the NPPES registry on February 27, 2006. The provider is also known as Ms. Lisa Michelle Kenyon Lpc.

Q: What is Lisa Mcculloch's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Mcculloch was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.

Active since February 27, 2006PECOS Enrolled

14377 WOODLAKE DR, SUITE 308, CHESTERFIELD, MO 63017(314) 576-6493(314) 576-7319 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Ms. Lisa Michelle Mcculloch Lpc NPPES

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

MS. LISA MICHELLE MCCULLOCH LPC (NPI 1649246935) is an individual counselor in Chesterfield, Missouri, licensed in Missouri (2001004734) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1649246935

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMS. LISA MICHELLE MCCULLOCHCredential: LPC

Location Address14377 WOODLAKE DR, SUITE 308Chesterfield, MO 63017

Mailing Address1222 Dunloe RoadBallwin, MO 63021 · (636) 207-1391 · Fax (636) 207-1391

Phone(314) 576-6493

Fax(314) 576-7319

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateFebruary 27, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1649246935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in MO · 2001004734

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

14377 WOODLAKE DR, Chesterfield, MO 63017

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Other Names 1

Other Name (5)Ms. Lisa Michelle Kenyon Lpc

Other Identifiers 1

Other691209MO · Healthlink

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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)

Ms. Lisa Michelle Mcculloch Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830614973

PECOS Enrollment IDI20250422000242

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.

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.

MR. THOMAS BRYON LEWIS M.ED LPC

Counselor (Mental Health)

14377 WOODLAKE DR, STE 308
CHESTERFIELD, MO 63017

St. Louis County (314) 576-6493

DR. DANIEL WRAY CHARPENTIER D.D.S

Dentist

14377 WOODLAKE DR, 210
CHESTERFIELD, MO 63017

St. Louis County (314) 878-1114

MS. BRENDA LEE CASEY MSW LCSW

Social Worker

14377 WOODLAKE DR, STE 308
CHESTERFIELD, MO 63017

St. Louis County (314) 576-6493

AURELIA A DUNAGAN D.M.D.

Dentist (Pediatric Dentistry)

14377 WOODLAKE DR, SUITE 102
CHESTERFIELD, MO 63017

St. Louis County (314) 576-4335

MS. DAWN C BERGMAN LPC

Counselor

14377 WOODLAKE DR, STE 308
CHESTERFIELD, MO 63017

St. Louis County (314) 576-6493

WARREN ALBERT KASS PHD

Psychologist

14377 WOODLAKE DR, #308
CHESTERFIELD, MO 63017

St. Louis County (314) 576-6493

DR. STEPHEN CHARLES SNITZER D.D.S.

Dentist (Periodontics)

14377 WOODLAKE DR, STE 214
CHESTERFIELD, MO 63017

St. Louis County (314) 434-2101

LAURA WAGNER INC

Dermatology

14377 WOODLAKE DR, SUITE 111
TOWN AND COUNTRY, MO 63017

St. Louis County (314) 434-1111

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 Lisa Mcculloch's NPI number?

The NPI number for Lisa Mcculloch is 1649246935. It was assigned to this individual provider in the NPPES registry on February 27, 2006. The provider is also known as Ms. Lisa Michelle Kenyon Lpc.

Where is Lisa Mcculloch located?

Lisa Mcculloch practices at 14377 Woodlake Dr Suite 308, Chesterfield, MO 63017. The listed phone number is (314) 576-6493.

What is Lisa Mcculloch's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Lisa Mcculloch enrolled in Medicare?

Yes. Lisa Mcculloch is registered in the Medicare PECOS enrollment system.

What insurance does Lisa Mcculloch accept?

Health plans from Medica list Lisa Mcculloch 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 Lisa Mcculloch was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.