Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicolle McCullough

Individual provider Professional Counselor · NPI 1275334070

Nicolle McCullough is a Mental Health Counselor in Waco, Texas. Qualified in 2023, 3 years ago. Practices with Get Out of Your Head Therapy LLC, a 5-clinician group and offers telehealth. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2025
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Practice location Address checks out

345 Owen Ln Ste 102
Waco, TX 76710-5583
Phone: (512) 686-6012
Fax: (512) 842-7227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 91672 (TX)

Record details

NPI number1275334070
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 19, 2025
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025
Mailing address208 Hewitt Dr Ste 103 Box 218, Waco, TX 76712-6693

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Get Out Of Your Head Therapy Llc — 5 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in Waco