MR. ROBERT E II MCCULLOUGH (LMHC, SUDP) – Addiction (Substance Use Disorder) Counselor, NPI 1386006922
Addiction (Substance Use Disorder) Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,452 MENTAL HEALTH COUNSELOR in WA
Provider Addresses for MR. ROBERT E II MCCULLOUGH (LMHC, SUDP)
809 W MAIN ST STE C
MONROE, WA 982722172
Phone: (206) 552-0882
Fax: (844) 440-2147
Type: Mailing
2821 MISSION HILL RD
TULALIP, WA 982719706
Phone: (360) 716-4400
Fax: (425) 259-8626
Type: Mailing
1905, Continental Place, Mount Vernon, Skagit County, Washington, 98273, United States
MOUNT VERNON, WA 982735633
Phone: (360) 755-6400
Fax: (360) 755-6407
Type: Mailing
902 PINE ST
EVERETT, WA 982011403
Phone: (425) 610-2075
Fax: (833) 485-0438
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-11-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250207002342 | I | Mental Health Counselor | TX | TBD |
| I20251125000840 | I | Mental Health Counselor | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98272)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Nurse Practitioner | WA | |
| Physician Assistant | WA |
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