1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Counselor
  6. NPI Profile

KEVIN MCCULLOCH LPC
NPI 1952922528
Counselor in Saint Louis, MO

Active since May 05, 2020
4100 FOREST PARK AVE APT 423, SAINT LOUIS, MO 63108(314) 805-5582 Get Directions Write a Review

NPPES record last updated: May 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin Mcculloch Lpc NPPES

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

KEVIN MCCULLOCH LPC (NPI 1952922528) is an individual counselor in Saint Louis, Missouri, licensed in Missouri (2020012030) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1952922528
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameKEVIN MCCULLOCHCredential: LPC
Location Address4100 FOREST PARK AVE APT 423Saint Louis, MO 63108-2897
Mailing Address4100 Forest Park Ave Apt 423Saint Louis, MO 63108-2897 · (314) 805-5582
Phone(314) 805-5582
Sole ProprietorNo
Enumeration DateMay 5, 2020
NPPES CertifiedMay 5, 2020
✔ NPI 1952922528 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 MO · 2020012030
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.
4100 FOREST PARK AVE APT 423, Saint Louis, MO 63108
Open in Google Maps ↗

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 Kevin Mcculloch's NPI number?

The NPI number for Kevin Mcculloch is 1952922528. It was assigned to this individual provider in the NPPES registry on May 5, 2020.

Where is Kevin Mcculloch located?

Kevin Mcculloch practices at 4100 Forest Park Ave Apt 423, Saint Louis, MO 63108. The listed phone number is (314) 805-5582.

What is Kevin Mcculloch's specialty?

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

When was this NPI record last updated?

The NPPES record for Kevin Mcculloch was last updated on May 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.