MS. JEAN E MCCULLUM (NPI# 1891904264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891904264 |
| Entity Type | Individual |
| Full Name | MS. JEAN E MCCULLUM |
| Other Name | JEAN E TYLER |
| Credential | M.A. |
| Practice Address |
3010 Trent Rd New Bern NC 28562-5735 |
| Mailing Address |
204 Corolla Ct Jacksonville NC 28546-8172 |
| Practice Telephone | 2526360001 |
| Mailing Telephone | 9103473857 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6705 | NC | Behavioral Health & Social Service Providers |
| Street Address |
3010 TRENT RD |
| City | NEW BERN |
| State | NC |
| Zip Code | 28562-5735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992856389 | Amy Michele Portofe | Counselor | 3010 Trent Rd, New Bern, NC 28562-5735 | 2007-01-14 |
| 1750619219 | Margaret Ann Minsk | Counselor | 3010 Trent Rd, New Bern, NC 28562-5735 | 2009-11-20 |
| 1861692063 | Michelle Wensing Graziosi | Psychologist | 3010 Trent Rd, New Bern, NC 28562-5735 | 2007-07-25 |
| 1639299746 | Dixon Social Interactive Services Inc. | Community/Behavioral Health | 3010 Trent Rd, New Bern, NC 28562-5735 | 2007-03-30 |
| 1588782692 | Eastern Carolina Health Resources | Counselor | 3010 Trent Rd, New Bern, NC 28562-5735 | 2007-03-27 |
| 1083750566 | Cleasther Riggs-gustus | Social Worker | 3010 Trent Rd, New Bern, NC 28562-5735 | 2007-01-30 |
| 1932250263 | Angella K Axelson | Counselor | 3010 Trent Rd, New Bern, NC 28562-5735 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235741943 | Benchmark Physical Therapy of Nc, LLC | Occupational Therapist | 2026 Waterscape Way Ste 13, New Bern, NC 28562 | 2020-08-24 |
| 1023677234 | Katie Rebecca Masters Dmd Pllc | Dentist | 2900 Doctor M L K Jr. Blvd, New Bern, NC 28562 | 2019-06-11 |
| 1093281750 | Try-care LLC | Mechanotherapist | 37 Shoreline Dr, New Bern, NC 28562 | 2018-10-22 |
| 1376021949 | Maykin Kimberly Boyd | Social Worker | 1405 A South Glenburnie Rd, New Bern, NC 28562 | 2018-08-05 |
| 1770069288 | Rebecca Ann Anderson Bright | Counselor | 3435 Belmont Blvd, New Bern, NC 28562 | 2018-07-17 |
| 1841799814 | Dallin Page | Physical Therapist | 2111 Neuse Blvd Suite K, New Bern, NC 28562 | 2018-02-06 |
| 1467960476 | Randolph Ntoko Esabe | Pharmacist | 258 Station House Rd, New Bern, NC 28562 | 2018-01-12 |
| 1881100568 | Reid Family Eye Care, Od, Pllc | Optometrist | 3105 Doctor M.l.k. Jr. Blvd, New Bern, NC 28562 | 2017-12-18 |
| 1851742050 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 2032 Waterscape Way, New Bern, NC 28562 | 2016-06-29 |
| 1609241868 | Victor Montoyaamaya | Military Health Care Provider | 3331 Hardee Farms Dr, New Bern, NC 28562 | 2015-12-14 |
| Find all providers in zip 28562 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770069288 | Rebecca Ann Anderson Bright | Counselor | 3435 Belmont Blvd, New Bern, NC 28562 | 2018-07-17 |
| 1326462680 | Holly Wilburn | Counselor | 100 Birch Ct, New Bern, NC 28562-8667 | 2014-02-06 |
| 1376972042 | Maribel Vanina Allaria | Counselor | 304 S Jimmies Creek Dr, New Bern, NC 28562-3704 | 2013-11-04 |
| 1356783021 | Danita Nolan | Counselor | 704 Stately Pines Rd, New Bern, NC 28560-8460 | 2013-07-23 |
| 1205188273 | Sarah Rose Roberts | Counselor | 1430 Mccarthy Blvd, New Bern, NC 28562-2002 | 2012-10-15 |
| 1982973517 | Linsey Rose Hollingsworth | Counselor | 2117 S Glenburnie Rd Ste 17-18, New Bern, NC 28562-2280 | 2011-12-28 |
| 1922376680 | Kathleen Glass Weeks | Counselor | 2117 S Glenburnie Rd Ste 15-16, New Bern, NC 28562-2280 | 2011-12-09 |
| 1386973170 | Michele Ruhmann | Counselor | 2407 Grace Ave # 18, New Bern, NC 28562-4416 | 2009-12-08 |
| 1689846891 | Emily Bingham Forro | Counselor | 2500 Educational Drive, Trent Park Elementary School, New Bern, NC 28562-4400 | 2008-03-27 |
| 1659428043 | Neuse Center Mhddsas | Counselor | 405 Middle St, New Bern, NC 28560-4930 | 2007-01-05 |
| Find all providers in NEW BERN | ||||
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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.