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KATHRYN R. CULLISON MA, MFT
NPI 1720194533
Marriage & Family Therapist in Yreka, CA

Active since August 22, 2006Opted out of Medicare · through Mar 1, 2028
304 YAMA ST, YREKA, CA 96097(530) 842-9668(530) 842-9668 Get Directions Write a Review

NPPES record last updated: October 20, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kathryn R. Cullison Ma, Mft NPPES

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

KATHRYN R. CULLISON MA, MFT (NPI 1720194533) is an individual marriage & family therapist in Yreka, California, licensed in California (MFC30628) and active in the NPI registry since August 2006. She has opted out of Medicare through March 1, 2028.

NPPES Registry Identity

NPI1720194533
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKATHRYN R. CULLISONCredential: MA, MFT
Location Address304 YAMA STYreka, CA 96097-2418
Mailing AddressPo Box 405Yreka, CA 96097-0405 · (530) 842-9668 · Fax (530) 842-9668
Phone(530) 842-9668
Fax(530) 842-9668
Sole ProprietorYes
Enumeration DateAugust 22, 2006
Last NPPES UpdateOctober 20, 2009
✔ NPI 1720194533 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 · MFC30628
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.
304 YAMA ST, Yreka, CA 96097
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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

Kathryn R. Cullison Ma, Mft 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 1, 2026 through March 1, 2028.

Opt-Out Effective DateMarch 1, 2026
Opt-Out In Effect ThroughMarch 1, 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 Kathryn Cullison's NPI number?

The NPI number for Kathryn Cullison is 1720194533. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Kathryn Cullison located?

Kathryn Cullison practices at 304 Yama St, Yreka, CA 96097. The listed phone number is (530) 842-9668.

What is Kathryn Cullison's specialty?

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

Is Kathryn Cullison enrolled in Medicare?

No. Kathryn Cullison has opted out of Medicare through March 1, 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 Kathryn Cullison was last updated on October 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.