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KIMBERLY VOSS MCCULLOUGH MHCA
NPI 1699452532
Counselor in Seattle, WA

Active since July 03, 2023Opted out of Medicare · through Mar 23, 2028
4105 FAUNTLEROY WAY SW, SEATTLE, WA 98126(206) 898-2085 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Voss Mccullough Mhca NPPES

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

KIMBERLY VOSS MCCULLOUGH MHCA (NPI 1699452532) is an individual counselor in Seattle, Washington, licensed in Washington (61455951) and active in the NPI registry since July 2023. She has opted out of Medicare through March 23, 2028.

NPPES Registry Identity

NPI1699452532
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKIMBERLY VOSS MCCULLOUGHCredential: MHCA
Location Address4105 FAUNTLEROY WAY SWSeattle, WA 98126-2609
Mailing Address4105 Fauntleroy Way SwSeattle, WA 98126-2609 · (206) 898-2085
Phone(206) 898-2085
Sole ProprietorNo
Enumeration DateJuly 3, 2023
NPPES CertifiedJuly 2, 2023
✔ NPI 1699452532 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 WA · 61455951
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.
4105 FAUNTLEROY WAY SW, Seattle, WA 98126
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kimberly Voss Mccullough Mhca 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 March 23, 2026 through March 23, 2028.

Opt-Out Effective DateMarch 23, 2026
Opt-Out In Effect ThroughMarch 23, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Kimberly Mccullough's NPI number?

The NPI number for Kimberly Mccullough is 1699452532. It was assigned to this individual provider in the NPPES registry on July 3, 2023.

Where is Kimberly Mccullough located?

Kimberly Mccullough practices at 4105 Fauntleroy Way SW, Seattle, WA 98126. The listed phone number is (206) 898-2085.

What is Kimberly Mccullough's specialty?

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

Is Kimberly Mccullough enrolled in Medicare?

No. Kimberly Mccullough has opted out of Medicare through March 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kimberly Mccullough was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.