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

Q: 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.

Q: What is Elaine Mccullough's specialty?

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

Q: 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.

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: August 09, 2026.

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

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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

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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 Ambetter from Arizona Complete Health.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)

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.

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)