Chase Mccullough, NLC is a
Psychologist - Counseling based in Vona, Colorado. Chase Mccullough is licensed to practice in Colorado (license number NLC.0109962) and his current practice location is
1215 2nd St, Vona, Colorado. He can be reached at his office (for appointments etc.) via phone at
(719) 349-0413.
NPI number for Chase Mccullough is 1902331697 and his current mailing address is Po Box 45, Vona, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902331697.
Healthcare Provider's Profile
| Full Name | Chase Mccullough |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Counseling |
|---|
| Location | 1215 2nd St, Vona, Colorado |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1902331697
- Provider Enumeration Date: 05/01/2017
- Last Update Date: 09/07/2021
Medical Identifiers
Medical identifiers for Chase Mccullough such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902331697 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC1900X | Psychologist - Counseling | NLC.0109962 (Colorado) | Primary |
| 104100000X | Social Worker | (NU) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chase Mccullough is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Chase Mccullough, NLC
Po Box 45,
Vona, CO 80861-0045
Ph: (719) 349-0413 | Chase Mccullough, NLC
1215 2nd St,
Vona, CO 80861-5002
Ph: (719) 349-0413 |
Reviews and Comments