BRIAN PATRICK MCCULLOUGH (NPI# 1417244716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417244716 |
| Entity Type | Individual |
| Full Name | BRIAN PATRICK MCCULLOUGH |
| Credential | LPCC |
| Practice Address |
1801 Nicollet Ave Minneapolis MN 55403-3791 |
| Practice Telephone | 6125969438 |
| Practice Fax Number | 6128793824 |
| Mailing Telephone | 6125969438 |
| Mailing Fax Number | 6128793824 |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2019-04-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
310 | MN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1900 Silver Lake Rd Nw, Saint Paul, MN 551121786 | 6513791718 | 6516280411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780208959 | Brian Thomas Mccullough | Nurse Practitioner | 34406 N. 27th Drive, Suite 140 Office 103, Phoenix, AZ 85085-6082 | 2020-06-03 |
| 1225498603 | Brian Shawn Mccullough | Pharmacist | 1701 Renaissance Blvd, Ste. 120, Edmond, OK 73013-3086 | 2016-02-29 |
| Street Address |
1801 NICOLLET AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55403-3791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992778229 | Corby J Benson | Psychiatry & Neurology | 1801 Nicollet Ave, Nicollet Exchange II Building, Minneapolis, MN 55403-3791 | 2006-02-08 |
| 1528673779 | Hulda M Mosiori | Nurse Practitioner | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2020-09-14 |
| 1235743584 | Nicole Ji-hae Johnson | Clinical Nurse Specialist | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2020-09-03 |
| 1194344234 | Elise Mary Pesch | Registered Nurse | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2020-04-09 |
| 1235787409 | Tolu Okuneye | Nurse Practitioner | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2019-08-29 |
| 1619525987 | Shafi Abdulle | Nurse Practitioner | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2019-08-29 |
| 1942857818 | Michael Albert Maranga Nyantaroka | Nurse Practitioner | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2019-08-24 |
| 1205480522 | Catherine Lavergne | Nurse Practitioner | 1801 Nicollet Ave, Minneapolis, MN 55403 | 2019-07-25 |
| 1245899285 | Gladys Ndip | Nurse Practitioner | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2019-06-12 |
| 1326522285 | Migmar Wangchuk | Nurse Practitioner | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2018-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508312174 | Afya Translation Corp | Interpreter | 1 E 19th Street, Suite 2, Minneapolis, MN 55403 | 2016-09-01 |
| 1891146692 | Alicia Kornacker | Doula | 1937 Aldrich Avenue South, Apt 12, Minneapolis, MN 55403 | 2016-06-23 |
| 1437506417 | Zahra Roble | Nurse Practitioner | 1801 Nicolllet Ave S, Minneapolis, MN 55403 | 2016-05-19 |
| 1063871259 | Vicky Smiley-turner | Counselor | 1523 Nicollet Ave. South, Minneapolis, MN 55403 | 2016-02-16 |
| 1326449026 | Lowry Hill Psychotherapy and Assessment Center | Psychologist | 1910 Hennepin Ave S, Minneapolis, MN 55403 | 2014-09-12 |
| 1285062372 | Cheryl Patterson | Marriage & Family Therapist | 1725 2nd Ave So, Minneapolis, MN 55403 | 2013-10-29 |
| 1598101156 | Sherri M Dunham | Counselor | 1200 S Marquette Ave, Minneapolis, MN 55403 | 2013-05-21 |
| 1831533173 | Laura Farley Young | Social Worker | 1925 Nicollet Ave S, Minneapolis, MN 55403 | 2013-04-17 |
| 1275801797 | Elizabeth Ann Hamer | Counselor | 1717/1725 2nd Ave. So., Minneapolis, MN 55403 | 2011-12-12 |
| 1679859185 | Accord Medical Inc | Durable Medical Equipment & Medical Supplies | 1815 Nicollet Ave, Minneapolis, MN 55403 | 2011-10-27 |
| Find all providers in zip 55403 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746579 | Kesha L Bradford | Counselor | 4315 Irving Ave N, Minneapolis, MN 55412-1258 | 2020-09-30 |
| 1043826746 | Amanda Anderson | Counselor | 3201 1st Ave S, Minneapolis, MN 55408-4407 | 2020-09-17 |
| 1508477514 | Great Lakes Arms Program | Counselor | 2917 15th Ave S, Minneapolis, MN 55407-1427 | 2020-08-12 |
| 1467077073 | Mandy Don Schloesser | Counselor | 2755 Grand St Ne, Minneapolis, MN 55418-2611 | 2020-06-09 |
| 1275156473 | Megan Rose Relson | Counselor | 3111 Mckinley St Ne, Minneapolis, MN 55418-2333 | 2020-05-21 |
| 1699307967 | Minneapolis Autism Center Corp | Counselor | 621 E 38th St, Minneapolis, MN 55407-2571 | 2020-02-05 |
| 1366083438 | John Arthur Flannagan | Counselor | 4037 13th Ave S, Minneapolis, MN 55407-3243 | 2019-09-30 |
| 1790331262 | Heather O'brien | Counselor | 2200 E Franklin Ave Ste 200, Minneapolis, MN 55404-2395 | 2019-08-12 |
| 1023679750 | Sarah Haag | Counselor | 800 E 28th St Wasie, Minneapolis, MN 55407-3723 | 2019-06-24 |
| 1447721634 | Patricia Marie Reinecke Lebedeva | Counselor | 2021 E Hennepin Ave Ste 330, Minneapolis, MN 55413-1798 | 2018-12-16 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55403 |
Please comment or provide details below to improve the information on BRIAN PATRICK MCCULLOUGH.
| 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.