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LISA MCCULLOUGH LMFT
NPI 1679924831
Marriage & Family Therapist in Malibu, CA

Active since June 28, 2016PECOS Enrolled
23440 CIVIC CENTER WAY, MALIBU, CA 90265(310) 457-5250 Get Directions Write a Review

NPPES record last updated: June 28, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lisa Mccullough Lmft NPPES

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

LISA MCCULLOUGH LMFT (NPI 1679924831) is an individual marriage & family therapist in Malibu, California, licensed in California (39465) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679924831
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameLISA MCCULLOUGHCredential: LMFT
Location Address23440 CIVIC CENTER WAYMalibu, CA 90265-4854
Mailing Address23440 Civic Center WayMalibu, CA 90265-4854 · (310) 457-5250
Phone(310) 457-5250
Sole ProprietorYes
Enumeration DateJune 28, 2016
✔ NPI 1679924831 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 CA · 39465
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.
23440 CIVIC CENTER WAY, Malibu, CA 90265
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Lisa Mccullough reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
11 mi
Health Maintenance Organization
5601 DE SOTO AVE
Woodland Hills, CA 91367
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1952333478 (818) 719-2000

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 9

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

BRIDGET PERRIN GARDNER L.AC.
Acupuncturist
23440 CIVIC CENTER WAY, SUITE 202
MALIBU, CA 90265
Los Angeles County (310) 317-9500
MAUGERI AND CHINN, A CHIROPRACTIC CORPORATION
Chiropractor
23440 CIVIC CENTER WAY, SUITE 204
MALIBU, CA 90265
Los Angeles County (310) 456-1972
DR. THOMAS R HIRSCH DDS
Dentist (General Practice)
23440 CIVIC CENTER WAY, STE 206
MALIBU, CA 90265
Los Angeles County (310) 456-3363
DR. RONALD CHARLES MAUGERI D.C.
Chiropractor
23440 CIVIC CENTER WAY, SUITE 204
MALIBU, CA 90265
Los Angeles County (310) 456-1972
CORIE TAPPIN L.AC.
Acupuncturist
23440 CIVIC CENTER WAY, SUITE 101
MALIBU, CA 90265
Los Angeles County (310) 709-2536
DR. ALLAN VAL PFEIFFER D.D.S.
Dentist (General Practice)
23440 CIVIC CENTER WAY, SUITE201
MALIBU, CA 90265
Los Angeles County (310) 456-2051
DR. TABER LUNG CHINN D.C.
Chiropractor
23440 CIVIC CENTER WAY, SUITE 204
MALIBU, CA 90265
Los Angeles County (310) 456-1972
CORIE TAPPIN L.AC ACUPUNCTURE & TRADITIONAL CHINESE MEDICINE
Acupuncturist
23440 CIVIC CENTER WAY, SUITE 202
MALIBU, CA 90265
Los Angeles County (310) 317-9500

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 Mccullough's NPI number?

The NPI number for Lisa Mccullough is 1679924831. It was assigned to this individual provider in the NPPES registry on June 28, 2016.

Where is Lisa Mccullough located?

Lisa Mccullough practices at 23440 Civic Center Way, Malibu, CA 90265. The listed phone number is (310) 457-5250.

What is Lisa Mccullough's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Lisa Mccullough enrolled in Medicare?

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

Which organization bills Medicare for Lisa Mccullough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Mccullough reassigns Medicare benefits to Southern California Permanente Medical Group (Woodland Hills, CA). 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 Lisa Mccullough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Mccullough was last updated on June 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.