MRS. JENNIFER KATHRYN MCCULLOUGH (NPI# 1265064125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265064125 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER KATHRYN MCCULLOUGH |
| Credential | LPC, CAADC |
| Practice Address |
1088 W Baltimore Pike Ste 2403 Media PA 19063-5166 |
| Mailing Address |
207z Trites Ave Norwood PA 19074-1630 |
| Practice Telephone | 4844442151 |
| Mailing Telephone | 4844723272 |
| Enumeration Date | 2020-02-09 |
| Last Update Date | 2020-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC010618 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578115903 | Jennifer Renea Mccullough | Registered Nurse | 667 S 900 E, Salt Lake City, UT 84102-3418 | 2019-07-16 |
| 1699702225 | Jennifer Lynn Mccullough | Social Worker | 909 Missouri Blvd, Suite F, Jefferson City, MO 65109-1771 | 2006-06-27 |
| 1043709231 | Jennifer Mccullough | Behavior Technician | 9755 Lincoln Village Dr, Sacramento, CA 95827-3334 | 2018-05-03 |
| 1922546126 | Jennifer Lynn Mccullough | Counselor | 200 Mcgee Rd, Anderson, SC 29625-2104 | 2017-02-08 |
| 1427451210 | Jennifer Mccullough | Nurse Practitioner | 670 Leigh Dr, Columbus, MS 39705-3014 | 2014-10-07 |
| 1093956252 | Jennifer Mccullough | Nurse Practitioner | 701 E Marshall St, West Chester, PA 19380-4412 | 2009-03-18 |
| 1013152362 | Jennifer Dawn Mccullough | Psychiatry & Neurology | 5398 Thomaston Rd, Macon, GA 31220-8110 | 2008-12-15 |
| 1174644991 | Jennifer Lynn Mccullough | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2007-04-02 |
| 1073683942 | Jennifer Mccullough | Speech-Language Pathologist | 6075 Atlantic Blvd, Suite G-1, Norcross, GA 30071-1349 | 2006-11-08 |
| Street Address |
1088 W BALTIMORE PIKE STE 2403 |
| City | MEDIA |
| State | PA |
| Zip Code | 19063-5166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
| 1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
| 1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
| 1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
| 1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
| 1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
| 1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
| 1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
| Find all providers in zip 19063 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198350 | Kaitlyn Hughes | Counselor | 1055 E Baltimore Pike Ste 301&303, Media, PA 19063-5173 | 2020-09-10 |
| 1790315000 | Marie Miller | Counselor | 601 N Olive St, Media, PA 19063-2548 | 2020-01-26 |
| 1073158333 | Edward J Friel Iv | Counselor | 206 Northbrook Dr, Media, PA 19063-5124 | 2019-11-11 |
| 1295280592 | Lauren Marie Kossler | Counselor | 318 W Baltimore Ave, 3rd Floor, Media, PA 19063-3601 | 2016-08-17 |
| 1427433481 | Danielle Henderson | Counselor | 107 Chesley Dr Ste 2, Media, PA 19063-1760 | 2015-07-20 |
| 1174907901 | Megan Eileen Stitz | Counselor | 10 W Front St, Media, PA 19063-3306 | 2015-07-10 |
| 1114338878 | Lauren Farley | Counselor | 14 S Orange St, Media, PA 19063 | 2014-05-15 |
| 1053619288 | Taracolleen Macatee | Counselor | 6 Northgate Vlg, Media, PA 19063-2040 | 2011-03-11 |
| 1922304930 | Melissa Christne O'neill | Counselor | 20 S Olive St Ste 202a, Media, PA 19063-3228 | 2011-02-09 |
| 1942499314 | Barry Horton | Counselor | 12 Veterans Sq, Media, PA 19063-3129 | 2007-10-22 |
| Find all providers in MEDIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.