IndividualActive
Audrey Mccullum, CCSS
NPI 1720504004 · Counselor · Ellisville, MS
Provider details
- NPI number
- 1720504004
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- CCSS
- Sex
- Female
- Sole proprietor
- No
- License
- 1451 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5192 Highway 11 N
Ellisville, MS 39437-5050
Phone: (601) 649-7921
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 18679
Hattiesburg, MS 39404-8679
Registry dates
- Enumerated
- 2017-08-17
- Last updated
- 2017-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.