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MS. ELAINE KIMBERLY MCCULLOUGH MA
NPI 1770767352
Counselor - Mental Health in Las Vegas, NV

Active since December 19, 2007PECOS Enrolled
2780 S JONES BLVD STE 100A, LAS VEGAS, NV 89146(702) 820-3061 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 2, 2021, Sep 29, 2019, Sep 12, 2019 and 2 more (5 updates tracked since 2019).

About Ms. Elaine Kimberly Mccullough Ma NPPES

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

MS. ELAINE KIMBERLY MCCULLOUGH MA (NPI 1770767352) is an individual mental health provider in Las Vegas, Nevada, licensed in Nevada (1148) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in North Las Vegas, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1770767352
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. ELAINE KIMBERLY MCCULLOUGHCredential: MA
Location Address2780 S JONES BLVD STE 100ALas Vegas, NV 89146-5625
Mailing Address3018 Sunset Harbor CtNorth Las Vegas, NV 89031-0555 · (702) 249-1888
Phone(702) 820-3061
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateDecember 19, 2007
Last NPPES UpdateFebruary 2, 20215 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2021
✔ NPI 1770767352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in NV · 1148✔ Licensed in MS · PH1535
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 3374 (TN), 1148 (NV)
2780 S JONES BLVD STE 100A, Las Vegas, NV 89146
Open in Google Maps ↗

Secondary Practice Location 1

Location 13018 Sunset Harbor CtNorth Las Vegas, NV 89031-0555 · Phone (702) 249-1888

Other Identifiers 2

Medicaid1770767352NV
Medicaid1770767352TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Elaine Kimberly Mccullough Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42708398
PECOS Enrollment IDI20251020002271
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 Elaine Mccullough reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
2,185 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Massachusetts enrollment
  • 522 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 12

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

DR. MICHAEL DEAN SCHLACHTER M.D.
Internal Medicine (Pulmonary Disease)
2780 S JONES BLVD STE 100A
LAS VEGAS, NV 89146
Clark County (702) 233-6694
MR. SHANDY CHANCE MELSON M.S., LCPC, LCADC
Counselor (Professional)
2780 S JONES BLVD STE 100A
LAS VEGAS, NV 89146
Clark County (702) 820-3061
MARICELA MERGY
Counselor (Mental Health)
2780 S JONES BLVD STE 100A
LAS VEGAS, NV 89146
Clark County (702) 820-3061
ALIASHA LASHAY CHEVALIER MFTI
Marriage & Family Therapist
2780 S JONES BLVD STE 100A
LAS VEGAS, NV 89146
Clark County (702) 605-5395
LISA GAIL WALKER LPC-A
Counselor (Mental Health)
2780 S JONES BLVD STE 100A
LAS VEGAS, NV 89146
Clark County (702) 820-3061
PAULA JOHNSON
Counselor (Mental Health)
2780 S JONES BLVD STE 100A
LAS VEGAS, NV 89146
Clark County (702) 820-3061
SHANNA O'CONNOR
Counselor (Professional)
2780 S JONES BLVD STE 100A
LAS VEGAS, NV 89146
Clark County (702) 820-3061
TRUE LIFE COACHING LLC
Counselor (Professional)
2780 S JONES BLVD STE 100A
LAS VEGAS, NV 89146
Clark County (808) 557-6092

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 Elaine Mccullough's NPI number?

The NPI number for Elaine Mccullough is 1770767352. It was assigned to this individual provider in the NPPES registry on December 19, 2007.

Where is Elaine Mccullough located?

Elaine Mccullough practices at 2780 S Jones Blvd Ste 100A, Las Vegas, NV 89146. The listed phone number is (702) 820-3061.

What is Elaine Mccullough's specialty?

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

Is Elaine Mccullough enrolled in Medicare?

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

Which organization bills Medicare for Elaine Mccullough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elaine Mccullough reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Elaine Mccullough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elaine Mccullough accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and UnitedHealthcare list Elaine 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 Elaine Mccullough was last updated on February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.