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DR. MARY IRENE MCCULLOUGH LSSP, LPC-S, NCC
NPI 1699039933
Counselor - Professional in Houston, TX

Active since July 02, 2012PECOS Enrolled
11757 KATY FWY STE 1300, HOUSTON, TX 77079(832) 429-4917 Get Directions Write a Review

NPPES record last updated: July 22, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mary Irene Mccullough Lssp, Lpc-s, Ncc NPPES

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

DR. MARY IRENE MCCULLOUGH LSSP, LPC-S, NCC (NPI 1699039933) is an individual professional provider in Houston, Texas, licensed in Texas (64887) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699039933
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. MARY IRENE MCCULLOUGHCredential: LSSP, LPC-S, NCC
Location Address11757 KATY FWY STE 1300Houston, TX 77079-1725
Mailing Address11757 Katy Fwy Ste 1300Houston, TX 77079-1725 · (832) 429-4917
Phone(832) 429-4917
Sole ProprietorYes
Enumeration DateJuly 2, 2012
Last NPPES UpdateJuly 22, 2016
✔ NPI 1699039933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 64887
Also ListedCounselorTaxonomy 101Y00000X · License 64887 (TX)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 64887 (TX)
Also ListedCounselor · SchoolTaxonomy 101YS0200X · License 64887 (TX)
Also ListedCase ManagementTaxonomy 251B00000X · License 64887 (TX)
11757 KATY FWY STE 1300, Houston, TX 77079
Open in Google Maps ↗

Other Identifiers 1

Medicaid300235402TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Florida Blue (BlueCross BlueShield FL) and more.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)

Dr. Mary Irene Mccullough Lssp, Lpc-s, Ncc 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.

Other Providers at the Same Location NPPES

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

THE GENESIS WELLNESS CENTER PLLC
Counselor (Mental Health)
11757 KATY FWY STE 1300
HOUSTON, TX 77079
Harris County (832) 429-4917

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 Mary Mccullough's NPI number?

The NPI number for Mary Mccullough is 1699039933. It was assigned to this individual provider in the NPPES registry on July 2, 2012.

Where is Mary Mccullough located?

Mary Mccullough practices at 11757 Katy Fwy Ste 1300, Houston, TX 77079. The listed phone number is (832) 429-4917.

What is Mary Mccullough's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Mary Mccullough enrolled in Medicare?

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

What insurance does Mary Mccullough accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Imperial Insurance Companies, Inc. and 5 other insurers list Mary 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 Mary Mccullough was last updated on July 22, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.