MARY KATHLEEN CATES CULLISON LCAC
NPI 1982588323
Social Worker - Clinical in Kokomo, IN

Q: What is Mary Kathleen Cates Cullison's NPI number?

The NPI number for Mary Kathleen Cates Cullison is 1982588323. It was assigned to this individual provider in the NPPES registry on July 31, 2025.

Q: What is Mary Kathleen Cates Cullison's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since July 31, 2025PECOS EnrolledAccepts Medicare Assignment

2751 ALBRIGHT RD, KOKOMO, IN 46902(765) 450-4843(765) 450-4895 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mary Kathleen Cates Cullison Lcac NPPES

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

MARY KATHLEEN CATES CULLISON LCAC (NPI 1982588323) is an individual clinical provider in Kokomo, Indiana, licensed in Indiana (34005813A) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1982588323

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMARY KATHLEEN CATES CULLISONCredential: LCAC

Location Address2751 ALBRIGHT RDKokomo, IN 46902-3996

Mailing Address2751 Albright RdKokomo, IN 46902-3996 · (765) 450-4843 · Fax (765) 450-4895

Phone(765) 450-4843

Fax(765) 450-4895

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateJuly 31, 2025

Last NPPES UpdateFebruary 20, 2026

NPPES CertifiedFebruary 20, 2026

✔ NPI 1982588323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in IN · 34005813A

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 87001439A (IN)

2751 ALBRIGHT RD, Kokomo, IN 46902

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Other Identifiers 1

Other34005813AIN · Licensed Clinical Social Worker License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Kathleen Cates Cullison Lcac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234626011

PECOS Enrollment IDI20251015001331

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46902 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $53.07 – $161.76

Typical copayment $0.00 (range $13.26 – $40.44)

Most-billed visit code NA

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

NICOLE FURST

Counselor (Mental Health)