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DOUGLAS RONALD MCCULLOUGH LPC
NPI 1700544236
Counselor - Mental Health in Wheaton, IL

Active since December 01, 2021PECOS Enrolled
111 N COUNTY FARM RD, WHEATON, IL 60187(630) 682-7400 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Douglas Ronald Mccullough Lpc NPPES

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

DOUGLAS RONALD MCCULLOUGH LPC (NPI 1700544236) is an individual mental health provider in Wheaton, Illinois, licensed in Illinois (178.013442) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700544236
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDOUGLAS RONALD MCCULLOUGHCredential: LPC
Location Address111 N COUNTY FARM RDWheaton, IL 60187-3988
Mailing Address111 N County Farm RdWheaton, IL 60187-3988
Phone(630) 682-7400
Sole ProprietorNo
Enumeration DateDecember 1, 2021
NPPES CertifiedNovember 28, 2021
✔ NPI 1700544236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 178.013442
111 N COUNTY FARM RD, Wheaton, IL 60187
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas Ronald Mccullough Lpc 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 20

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

ANGELA D MILLER
Case Manager/Care Coordinator
111 N COUNTY FARM RD
WHEATON, IL 60187
Dupage County (630) 682-7400
EMILY BERNAS
Registered Nurse
111 N COUNTY FARM RD
WHEATON, IL 60187
Dupage County (630) 682-7400
JANET RODRIGUEZ
Case Manager/Care Coordinator
111 N COUNTY FARM RD
WHEATON, IL 60187
Dupage County (630) 682-7400
MONIQUE D COPPRUE
Counselor (Mental Health)
111 N COUNTY FARM RD
WHEATON, IL 60187
Dupage County (630) 682-7400
DR. HELEN DAVIS GARDNER M.D.
Psychiatry & Neurology (Psychiatry)
111 N COUNTY FARM RD
WHEATON, IL 60187
Dupage County (630) 969-7030
VNA HEALTH CARE
Clinic/Center (Federally Qualified Health Center (FQHC))
111 N COUNTY FARM RD
WHEATON, IL 60187
Dupage County (630) 978-2532
MARGUERITE MONACO
Case Manager/Care Coordinator
111 N COUNTY FARM RD
WHEATON, IL 60187
Dupage County (630) 682-7400
MARY PARKER
Registered Nurse
111 N COUNTY FARM RD
WHEATON, IL 60187
Dupage County (630) 682-7400

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 Douglas Mccullough's NPI number?

The NPI number for Douglas Mccullough is 1700544236. It was assigned to this individual provider in the NPPES registry on December 1, 2021.

Where is Douglas Mccullough located?

Douglas Mccullough practices at 111 N County Farm Rd, Wheaton, IL 60187. The listed phone number is (630) 682-7400.

What is Douglas Mccullough's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Douglas Mccullough enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Douglas Mccullough was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.